| A Clinical Review and Results of Treatment in Non-squamous Cell Tumor of the Maxilla |
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Se Heon Kim;Kwang Moon Kim;Eun Chang Choi;Ki Chang Keum;Yoon Woo Koh;Won Pyo Hong |
| 상악동에 발생한 비편평세포암의 임상양상 및 치료성적 |
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김세헌;김광문;최은창;금기창;고윤우;홍원표 |
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| Abstract |
Background: Most of the cancers of maxillary sinus are the squamous variety, but various histopathologic types of malignant tumor can occur in the maxillary sinus. These non-squamous cell tumors have quite different patterns of clinical behavior compared with squamous variety, such as invasive characters, route of metastasis, treatment modality, and so on.
Objectives: The authors intend to establish the clinical characteristics and treatment modalities of non-squamous cell tumors of the maxillary sinus.
Material and Methods: We experienced 16 cases of non-squamous cell tumors arisen from the maxillary sinus during the 10-year period from 1987 to 1996. We analyzed their clinical features, therapeutic modalities and results with review of literatures.
Results
According to AJCC TNM system, 13 patients presented with T1-2, 3 with T3-4, Two patients were treated with surgery after radiotherapy, 3 patients with surgery after chemotherapy and radiotherapy, 4 patients with chemotherapy and radiotherpy, 5 patients with chemotherapy and radiotherapy after surgery.
Conclusion
In cases of adenoid cystic carcinoma, adenocarcinoma and sarcoma, we believe that the best form of therapy is wide surgical excision. If there is microscopic evidence of disease at or close to the resection margin, postoperative radiation was used to achieve better local control. In cases of undifferentiated carcinoma, preoperative chemotherapy and radiation therapy showed improved outcomes. |
| Key Words:
Maxillary cancer, Non-squamous cell tumor |
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