Maxillary Sinus Squamous Cell Carcinoma in a Tertiary Hospital in the Philippines

  • Anna Kristina M. Hernandez Department of Otorhinolaryngology Philippine General Hospital University of the Philippines Manila
  • Arsenio Claro A. Cabungcal Department of Otorhinolaryngology Philippine General Hospital University of the Philippines Manila
Keywords: maxillary sinus cancer, paranasal sinus cancer, squamous cell carcinoma

Abstract

Objective: To establish preliminary demographic and clinicopathologic data on Maxillary Sinus Squamous Cell Carcinoma (SCC) in the Philippine General Hospital

Methods:       

          Design:           Retrospective Case Series

          Setting:           Tertiary National University Hospital

          Participants: Socio-demographic and clinical data from records of 22 patients admitted at the Department of Otorhinolaryngology of the Philippine General Hospital from 2013-2016 and histopathologically confirmed to have Maxillary Sinus SCC, were collected and described using means and proportions.

Results: There were 15 males and 7 females with a mean age of 50-years-old (range 24 to 77-years-old). Maxillary mass/swelling was the most common chief complaint.  The mean gap between initial symptoms and consult was 6.77 months.  Initial biopsies were obtained from the maxillary sinus in 16 patients, with 1 patient noted to have undergone malignant transformation from a prior intranasal squamous papilloma.  Staging was advanced (Stage IVA in 16, IVB in 4, and III in 2), with no patients with Stage I or II disease.  Sixteen (16) patients underwent surgery and radiotherapy, while 6 patients received radiotherapy (RT) with or without chemotherapy.  Regional and distant metastases were uncommon.

Conclusion: In this series, maxillary sinus SCC occurs more in males, with a maxillary mass as the most common chief complaint.  Delay in treatment is common, with a mean gap of 6 months between initial symptoms and consult.  Neck node metastasis is uncommon, and most patients undergo surgery with radiotherapy as treatment.

 

Keywords: maxillary sinus cancer; paranasal sinus cancer; squamous cell carcinoma

 

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Published
2019-06-18
How to Cite
1.
Hernandez AKM, Cabungcal ACA. Maxillary Sinus Squamous Cell Carcinoma in a Tertiary Hospital in the Philippines. Philipp J Otolaryngol Head Neck Surg [Internet]. 2019Jun.18 [cited 2019Sep.19];34(1):34-7. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/155