Hartenian K M, Stenger T G
J Oral Surg. 1978 Nov;36(11):898-901.
A well-documented case of undifferentiated carcinoma of the right maxillary sinus has been presented. Results of initial evaluation and examination were consistent with an acute ulcer, but complete resolution did not occur when the denture was removed. Expansion of the buccal vestibule became evident, and biopsy was done. The expansion probably caused increased pressure under the denture flange, resulting in ulceration. As is so common in malignancy of the maxillary sinus, symptoms did not appear until late in the course of the disease and diagnosis was not made until the tumor was inoperable. Moreover, the initial symptoms were unusual for a tumor of the maxillary sinus. Conventional panoramic radiographs did not show any significance changes, although an advanced tumor had destroyed the lateral wall of the maxilla as confirmed on the Waters projection. We suggest that the panoramic oral radiograph is a valuable tool in evaluating disease of the maxillary sinus but that it does not replace the conventional views used to evaluate the paranasal sinuses.
本文报告了一例有充分记录的右上颌窦未分化癌病例。初步评估和检查结果与急性溃疡相符，但取下假牙后溃疡并未完全愈合。颊侧前庭出现扩张，并进行了活检。这种扩张可能导致假牙边缘下方压力增加，从而引起溃疡。正如上颌窦恶性肿瘤中常见的情况一样，症状直到疾病晚期才出现，直到肿瘤无法手术切除才得以诊断。此外，最初的症状对于上颌窦肿瘤来说并不常见。尽管在华氏位片上证实晚期肿瘤已破坏上颌骨外侧壁，但传统全景片未显示任何显著变化。我们认为全景口腔X光片是评估上颌窦疾病的有价值工具，但它不能替代用于评估鼻窦的传统视图。
