Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 11 , Pages 1592-1597, November 2006

Adenoid Cystic Carcinoma and Mucoepidermoid Carcinoma of the Maxillary Sinus: Report of a 44-Year Experience of 25 Cases From a Single Institution

  • Danyel Elias da Cruz Perez, DDS, PhD

      Affiliations

    • Professor, Oral Pathology and Semiology, School of Dentistry of Piracicaba, State University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Perez: Faculdade de Odontologia de Piracicaba, Av Limeira, 901, Areão, CEP 13414-018, Piracicaba/SP, Brazil
    • ,
  • Fábio Ramôa Pires, DDS, PhD

      Affiliations

    • Professor, Oral Pathology, School of Dentistry, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil.
    • ,
  • Márcio Ajudarte Lopes, DDS, PhD

      Affiliations

    • Titular Professor, Oral Pathology and Semiology, School of Dentistry of Piracicaba, State University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil.
    • ,
  • Oslei Paes de Almeida, DDS, PhD

      Affiliations

    • Head, Oral Pathology and Semiology, School of Dentistry of Piracicaba, State University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil.
    • ,
  • Luiz Paulo Kowalski, MD, PhD

      Affiliations

    • Head, Department of Head and Neck Surgery and Otorhinolaryngology, AC Camargo Cancer Hospital, São Paulo, Brazil.

Purpose

The aim of this study was to analyze the clinicopathologic characteristics of all cases of adenoid cystic carcinoma (ACC) and mucoepidermoid carcinoma (MEC) arising in the maxillary sinuses treated in a single institution.

Patients and Methods

From 1953 to 1997, 18 ACCs and 7 MECs from the maxillary sinus were studied. Clinical data were obtained from the medical records and microscopic slides were reviewed.

Results

Mean age was 45.9 years (range, 13 to 77 years) and TNM staging revealed 88.9% of ACCs at advanced clinical stages, while 57.1% of the MECs were initial clinical stages. Surgery combined with radiotherapy was the most common treatment. Follow-up showed 88.8% of ACC patients died from the tumor, while 42.8% of patients with MEC are alive without disease.

Conclusion

Maxillary sinus ACC and MEC are uncommon tumors and a patient’s prognosis depends on the clinical stage and histologic type; MEC has shown a better outcome.

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 This work was supported by The State of Sao Paulo Research Foundation (FAPESP) and National Council for Scientific and Technological Development (CNPq), Brazil.

PII: S0278-2391(06)01244-4

doi:10.1016/j.joms.2005.11.088

Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 11 , Pages 1592-1597, November 2006

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