Squamous cell carcinoma of maxilla

Case contributed by James Sheldon
Diagnosis certain

Presentation

Fungating tumor on face. Patient elected against surgical resection upon initial diagnosis.

Patient Data

Age: 80 years
Gender: Male

See MRI report

Soft tissue mass is demonstrated involving the left cheek extending as far back as the mid part of the zygomatic arch and involving the underlying maxillary bone.

It extends to the right across the nose, the upper lip, as far as the right first maxillary molar tooth (16).

The mass extends through the floor of orbit involving the inferior rectus and inferior oblique, distorting the globe. Tumor fills the left side of the nasal cavity. Inferiorly it replaces much of the hard palate with only a small pass posteriorly remaining.

Tumor involves the alveolar ridge of the maxilla on both sides. There is no evidence of involvement of the mandible or the tongue.

Biopsy proven SCC.

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