Metastatic Prostate Adenocarcinoma Mimicking Multifocal Periapical Pathosis

The jaw is an uncommon site for metastasis, accounting for 1% of all oral cancers. The posterior mandible is the most common site of metastatic deposits, which typically present as ill-defined radiolucency. We present a case of metastatic prostate adenocarcinoma found during routine radiographic examination, resembling that of periapical pathology bilaterally in the mandible. The lesions presented as well-defined radiolucencies at the apex of non-vital teeth. Both lesions were revealed to be metastatic adenocarcinoma during histopathologic examination, emphasizing the importance of including malignant neoplasm in the differential diagnosis.