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Fulminant Adenoid Cystic Carcinoma of the Maxillary Sinus - A Rare Finding: Case Report
Florian Dudde1, Filip Barbarewicz2, Christina Kruger3
1Department of Oral and Maxillofacial Surgery, Army Hospital Hamburg, Hamburg, Germany; floriandudde@gmx.de.
Background:
The most common malignant tumor of the small salivary glands in the head and neck region is adenoid cystic carcinoma (ACK). The most common localization of ACK is the hard palate. ACK does not show any sex predisposition and is mainly diagnosed in middle-aged patients.
Case Report:
The present case report describes a fulminant ACK in the rare localization of maxillary sinus in a 36-year old male. The subsequent surgical treatment consisted of a radical hemimaxillectomy using an extraoral approach according to Weber-Fergusson-Dieffenbach and ipsilateral neck dissection. A magnetic epithesis was used for initial defect coverage of the maxillary bone accompanied by an obturator prosthesis. The surgical treatment was then followed by adjuvant proton therapy.
Conclusion:
This case report shows how individual patient care can be provided according to the latest therapy standards of ACK in the rare localization of the maxillary sinus.
