Prognosis of Maxillary Sinus Cancer in Recent Seven-year Period

Abstract

From 1973 to 1980, 107 patients with maxillary sinus cancer were treated at Kobe University Hospital. Local recurrence, cervical lymph node metastasis and distant metastasis were reviewed retrospectively. The initial treatment of the primary lesions was of 3 types; 1) total maxillectomy or extended maxillectomy 2) partial maxillectomy 3) conservative therapy. The percentage of local recurrence was; 1) 0% 2) 47% 3) 60%.
Cervical lymph node metastasis occurred in 26 patients, 21 of whom died from local recurrence and/or distant metastasis.
Conclusions were as follows; The anterior-inferior-medial type of T3 can be treated conservatively, but the posterior-superior-lateral type requires radical surgery. If cervical lymph node metastasis is present, the patient must be examined carefully for local recurrence and/or distant metastasis. If cervical lymph node metastasis occurs, the prognosis is poor.