Oral Radiology

, Volume 6, Issue 1, pp 41–46 | Cite as

Malignant tumor involving paranasal sinuses

  • Tae Won Park
  • Dong Soo Yoo
  • Soon Chul Choi
  • Jung Bae Dan
Case Report


Carcinoma of the paranasal sinuses is a very serious disease, but its incidence is lower than that of any other oral malignancy. Failure to diagnose it early because of misleading symptoms resembling sinusitis usually leads to its detection at a stage when it has already destroyed the bony walls of the sinus and has spread to surrounding structures (infratemporal fossa, posterior ethmoid cells, orbit, cribriform plate, nasopharynx, sphenoid sinus or base of the skull). It is uncommon for this cancer to spread to the regional lymph nodes as long as it remains confined within the maxillary sinus. CT scanning provides an accurate assessment of the extent of resection required and is usually used as an indicator of operability.

A 56-year-old man with a chief complaint of palatal swelling, pain and pus discharge was referred to Seoul National University Dental Hospital. Orthopantomogram and Waters' view revealed an aggressive bone destruction in the right maxillary molar area, ipsilateral sinus opacification and destruction of the lateral wall of the maxillary sinus. The CT fidding showed that the right maxillary sinus was occupied by a soft tissue mass which represented a central low density, with an irregular shape at some levels. The tumor mass also involved the pterygopalatine fossa, right esthmoid sinus, nasal cavity and hard palate. Incisional biopsy was done and the biopsy report was squamous cell carcinoma. He was transferred to Internal Medicine for chemotheraphy because of inoperability.

Key Words

Paranasal sinus Maxillary sinus Malignant tumor CT 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1).
    Birth, B. D. and Briant, T. D. R.: The management of malignant tumors of the maxillary sinus.Otolaryngol. Clin. North Am. 9: 249–254, 1976Google Scholar
  2. 2).
    Marchetta, F. C., Sako, K. L. and Stinziano, G. D.: Squamous cell carcinima of the maxillary antrum.Am. J. Surg. 118: 805–807, 1969CrossRefPubMedGoogle Scholar
  3. 3).
    Conley, J. and Dingman, D. L.: Adenoid cystic carcinima in the head and neck (cylindroma).Arch. Otolaryngol. 100: 81–90 1974PubMedGoogle Scholar
  4. 4).
    Horree, W. A.: Adenoid cystic carcinoma of the maxilla.Arch. Otolaryngol. 100: 469–472, 1974PubMedGoogle Scholar
  5. 5).
    Larsson, L. G. and Martesson, G.: Maxillary antral cancers.JAMA 219: 342–345 1972CrossRefPubMedGoogle Scholar
  6. 6).
    Weber, A. L., Tadmor, R. and Davis, R.: Malignant tumors of the sinuses. Radiologic evaluation, including CT scanning, with clinical and pathologic correlation.Neuroradiology 16: 443–448, 1978CrossRefPubMedGoogle Scholar
  7. 7).
    Boone, M. L., Harle, T. S., Higholt, H. W. and Fletcher, G. H.: Malignant disease of the paranasal sinuses and nasal cavity.Am. J. Roentgenol. 102: 627–636, 1968Google Scholar
  8. 8).
    Tabb, H. G. and Barranco, S. J.: Cancer of the maxillary sinus.Laryngoscope 81: 818–827, 1971PubMedGoogle Scholar
  9. 9).
    Kondo, K., Horiuchi, M., Shiga, H. et al.: Computed tomography of malignant tumors of the nasal cavity and paranasal sinuses.Cancer 50: 226–231, 1982PubMedGoogle Scholar
  10. 10).
    Birkhead, B. M. and Scott, R. M.: Integrated therapy of cancer of the maxillary antrum.Cancer 30: 665–667, 1972.PubMedGoogle Scholar
  11. 11).
    MacComb, W. S. and Fletcher, G. H.:Cancer of the head and neck, pp. 329–356, 1967, Baltimore, Md.: Williams and WilkinsGoogle Scholar
  12. 12).
    Schechter, G. L. and Ogura, J. H.: Maxillary sinus malignancy.Laryngoscope 120: 796–806, 1972Google Scholar
  13. 13).
    Chan, R. C. and Shukovsky, L. J.: Effects of irradiation on the eye.Radiology 120: 673–675, 1976PubMedGoogle Scholar

Copyright information

© The Japanese Society of Dental Radiology 1990

Authors and Affiliations

  • Tae Won Park
    • 1
  • Dong Soo Yoo
    • 1
  • Soon Chul Choi
    • 1
  • Jung Bae Dan
    • 1
  1. 1.Department of Oral Radiology, College of DentistrySeoul National UniversitySeoulKorea

Personalised recommendations