1994 Volume 1994 Issue Supplement69 Pages 47-51
An 80-year-old man visited our hospital because of nasal obstruction and rhinorrhea. Examination of the nasal cavity revealed large nasal polyps causing significant airway obstruction. CT and MRI films revealed a large tumor of the left maxillary sinus. The left orbit, ethmoidal sinus and hard palate were invaded.
A biopsy was performed after admission, a nd the pathological report indicated adenoid cystic carcinoma. Thereafter,250 mg of 5-FU was infused 10 times via the left superficial temporal artery and 2700 rad of radiation was administrated. Gross Denker's maxillectomy was performed. The final pathological report was polymorphous low-grade adenocarcinoma.1800 rad of radiation was given after surgery.
The incidence of polymorphous low-grade a denocarcinoma of the maxillary sinus is rare, so we discussed this case and the differential diagnosis.
