Intraoral Mass Presenting as Maxillary Sinus Carcinoma: A Case Report
Identifieur interne : 000E05 ( Ncbi/Merge ); précédent : 000E04; suivant : 000E06Intraoral Mass Presenting as Maxillary Sinus Carcinoma: A Case Report
Auteurs : Omid Mahdavi [Iran] ; Najmehalsadat Boostani [Iran] ; Sharareh Karimi [Iran] ; Adel Tabesh [Iran]Source :
- Journal of Dentistry (Tehran, Iran) [ 1735-2150 ] ; 2013.
Abstract
Sinonasal undifferentiated carcinoma is an extremely rare malignancy of the paranasal sinuses and nasal cavity. It is of unknown etiology, and occurs more commonly in the elderly men, with a routinely shown aggressive behavior and poor prognosis for survival. Radiographically, it looks like severe osteomyelitis. Histopathologic study is essential to confirm diagnosis, and the undifferentiated histologic appearance often necessitates immunohistochemical studies for differentiation from other high-grade neoplasms. We present an 83-year-old man complaining of pain and unilateral swelling on the left side of the face due to a rare malignant tumor of maxillary sinus origin, a sinonasal undifferentiated carcinoma. He underwent hemimaxillectomy and radiotherapy, but refused chemotherapy. Maxillary sinus malignancy may be presented with unspecific symptoms mimicking sinusitis or dental pain. Coming across such symptoms, the physician or dentist must consider malignancies as well, and carry out medical and dental workups.
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PubMed: 24910668
PubMed Central: 4025437
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<front><div type="abstract" xml:lang="en"><p>Sinonasal undifferentiated carcinoma is an extremely rare malignancy of the paranasal sinuses and nasal cavity. It is of unknown etiology, and occurs more commonly in the elderly men, with a routinely shown aggressive behavior and poor prognosis for survival. Radiographically, it looks like severe osteomyelitis. Histopathologic study is essential to confirm diagnosis, and the undifferentiated histologic appearance often necessitates immunohistochemical studies for differentiation from other high-grade neoplasms. We present an 83-year-old man complaining of pain and unilateral swelling on the left side of the face due to a rare malignant tumor of maxillary sinus origin, a sinonasal undifferentiated carcinoma. He underwent hemimaxillectomy and radiotherapy, but refused chemotherapy. Maxillary sinus malignancy may be presented with unspecific symptoms mimicking sinusitis or dental pain. Coming across such symptoms, the physician or dentist must consider malignancies as well, and carry out medical and dental workups.</p>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Dent (Tehran)</journal-id>
<journal-id journal-id-type="iso-abbrev">J Dent (Tehran)</journal-id>
<journal-title-group><journal-title>Journal of Dentistry (Tehran, Iran)</journal-title>
</journal-title-group>
<issn pub-type="ppub">1735-2150</issn>
<issn pub-type="epub">2008-2185</issn>
<publisher><publisher-name>Tehran University of Medical Sciences</publisher-name>
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<article-meta><article-id pub-id-type="pmid">24910668</article-id>
<article-id pub-id-type="pmc">4025437</article-id>
<article-id pub-id-type="publisher-id">jod-10-562</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Intraoral Mass Presenting as Maxillary Sinus Carcinoma: A Case Report</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Mahdavi</surname>
<given-names>Omid</given-names>
</name>
<xref ref-type="aff" rid="af1-jod-10-562"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Boostani</surname>
<given-names>Najmehalsadat</given-names>
</name>
<xref ref-type="aff" rid="af2-jod-10-562"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Karimi</surname>
<given-names>Sharareh</given-names>
</name>
<xref ref-type="aff" rid="af3-jod-10-562"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tabesh</surname>
<given-names>Adel</given-names>
</name>
<xref ref-type="aff" rid="af4-jod-10-562"><sup>4</sup>
</xref>
<xref ref-type="corresp" rid="c1-jod-10-562"></xref>
</contrib>
</contrib-group>
<aff id="af1-jod-10-562"><label>1</label>
Assistant Professor, Department of Oral and Maxillofacial Medicine, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran</aff>
<aff id="af2-jod-10-562"><label>2</label>
Resident, Department of Anesthesiology, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran</aff>
<aff id="af3-jod-10-562"><label>3</label>
Assistant Professor, Department of Oral and Maxillofacial Medicine, School of Dentistry, Kurdistan University of Medical Sciences, Sanandaj, Iran</aff>
<aff id="af4-jod-10-562"><label>4</label>
Resident, Department of Oral and Maxillofacial Medicine, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran</aff>
<author-notes><corresp id="c1-jod-10-562">Corresponding author: A. Tabesh, Department of Oral Medicine, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran, <email>adeltabesh@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>11</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>30</day>
<month>11</month>
<year>2013</year>
</pub-date>
<volume>10</volume>
<issue>6</issue>
<fpage>562</fpage>
<lpage>568</lpage>
<history><date date-type="received"><day>18</day>
<month>6</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>17</day>
<month>10</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>Copyright © Dental Research Center, Tehran University of Medical Sciences</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.</license-p>
</license>
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<abstract><p>Sinonasal undifferentiated carcinoma is an extremely rare malignancy of the paranasal sinuses and nasal cavity. It is of unknown etiology, and occurs more commonly in the elderly men, with a routinely shown aggressive behavior and poor prognosis for survival. Radiographically, it looks like severe osteomyelitis. Histopathologic study is essential to confirm diagnosis, and the undifferentiated histologic appearance often necessitates immunohistochemical studies for differentiation from other high-grade neoplasms. We present an 83-year-old man complaining of pain and unilateral swelling on the left side of the face due to a rare malignant tumor of maxillary sinus origin, a sinonasal undifferentiated carcinoma. He underwent hemimaxillectomy and radiotherapy, but refused chemotherapy. Maxillary sinus malignancy may be presented with unspecific symptoms mimicking sinusitis or dental pain. Coming across such symptoms, the physician or dentist must consider malignancies as well, and carry out medical and dental workups.</p>
</abstract>
<kwd-group><kwd>Sinonasal Undifferentiated Carcinoma</kwd>
<kwd>Maxillary Sinus Neoplasms</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="f1-jod-10-562" position="float"><label>Fig 1.</label>
<caption><p>Extraoral swelling on the left maxillary region causing facial asymmetry</p>
</caption>
<graphic xlink:href="jod-10-562f1"></graphic>
</fig>
<fig id="f2-jod-10-562" position="float"><label>Fig 2.</label>
<caption><p>Intraoral nodular exophytic lesion with a smooth surface on the maxillary left vestibule</p>
</caption>
<graphic xlink:href="jod-10-562f2"></graphic>
</fig>
<fig id="f3-jod-10-562" position="float"><label>Fig 3.</label>
<caption><p><bold>A,</bold>
Coronal and <bold>B,</bold>
Axial computerized tomographs (CT)</p>
</caption>
<graphic xlink:href="jod-10-562f3"></graphic>
</fig>
<fig id="f4-jod-10-562" position="float"><label>Fig 4.</label>
<caption><p><bold>A,</bold>
Coronal and <bold>B,</bold>
Axial contrast magnetic resonance images (MRI)</p>
</caption>
<graphic xlink:href="jod-10-562f4"></graphic>
</fig>
<fig id="f5-jod-10-562" position="float"><label>Fig 5.</label>
<caption><p><bold>A,</bold>
Low and <bold>B,</bold>
High magnifications of the neoplastic epithelium</p>
</caption>
<graphic xlink:href="jod-10-562f5"></graphic>
</fig>
<fig id="f6-jod-10-562" position="float"><label>Fig 6.</label>
<caption><p>Post-operative view</p>
</caption>
<graphic xlink:href="jod-10-562f6"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations><list><country><li>Iran</li>
</country>
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<tree><country name="Iran"><noRegion><name sortKey="Mahdavi, Omid" sort="Mahdavi, Omid" uniqKey="Mahdavi O" first="Omid" last="Mahdavi">Omid Mahdavi</name>
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<name sortKey="Boostani, Najmehalsadat" sort="Boostani, Najmehalsadat" uniqKey="Boostani N" first="Najmehalsadat" last="Boostani">Najmehalsadat Boostani</name>
<name sortKey="Karimi, Sharareh" sort="Karimi, Sharareh" uniqKey="Karimi S" first="Sharareh" last="Karimi">Sharareh Karimi</name>
<name sortKey="Tabesh, Adel" sort="Tabesh, Adel" uniqKey="Tabesh A" first="Adel" last="Tabesh">Adel Tabesh</name>
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