Adenoid cystic carcinoma of the maxilla

Case contributed by Dr Saad Ahmed Saad Hassan

Presentation

Trauma to the right face with increased swelling

Patient Data

Age: 65 years
Gender: Male

Complete opacification of the right maxillary sinus with poor definition of its walls.

Large tumor in the right maxillary sinus destructing the sinus walls, the zygomatic bone, the adjacent hard palate and the maxillary alveolus. Anteriorly, the mass extends to the premaxillary soft tissue. Posteriorly, there is an extension to the retroantral fat, pterygomaxillary fissure and the pterygopalatine fossa. Superiorly, the mass extends to the floor of the right orbit. The mass measures 5.5x4.5x4.5 cm in its maximum dimensions.

No cervical lymphadenopathy.

MRI

Post operative MRI

There is evidence of right radical maxillectomy and orbital exenteration.
There is a large muscular flap occupying the orbitomaxillary defect which shows a normal signal intensity and enhancement with no evidence of tumor residue.

 

Case Discussion

Pathologically proven adenoid cystic carcinoma of the right maxilla (T4b,N0).

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Case information

rID: 75782
Published: 14th Apr 2020
Last edited: 9th May 2020
Inclusion in quiz mode: Included
Institution: Poole NHS Foundation Trust

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