Adenoid cystic carcinoma involving paranasal sinus

Discussion:

Clinical examination revealed a reddish mass in left middle meatus with left inferior turbinate slightly pushed medially. The mass was soft in consistency, smooth surface with no bony region underneath. 

Nasal endoscopy and biopsy was done. Histopathology report came positive for adenoid cystic carcinoma. 

Adenoid cystic carcinoma, that is , malignancy of minor salivary glands, most commonly affects the maxillary sinus among all the paranasal sinuses. It tends to recur locally with 'skip lesion' neural involvement. 

Wild local excision is key to management. 

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