Recurrent maxillary sinus cancer with only adrenal metastasis

Chang,Hye  Jung; Hur,Joon‑Young; Won,Kyu  Yeoun; Chang,Boksoon; Lee,Ha  Yeon

doi:10.3892/mco.2017.1427

Recurrent maxillary sinus cancer with only adrenal metastasis

Authors:
- Hye Jung Chang
- Joon‑Young Hur
- Kyu Yeoun Won
- Boksoon Chang
- Ha Yeon Lee
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Affiliations: Division of Hematology‑Oncology, Department of Internal Medicine, Graduate School of Medicine, Kyung Hee University Hospital at Gandgong, Seoul, Republic of Korea, Department of Internal Medicine, Graduate School of Medicine, Kyung Hee University Hospital at Gandgong, Seoul, Republic of Korea, Department of Pathology, Kyung Hee University Hospital at Gandgong, Seoul, Republic of Korea, Department of Pulmonary and Critical Care Medicine, Kyung Hee University Hospital at Gandgong, Seoul, Republic of Korea
Published online on: September 20, 2017 https://doi.org/10.3892/mco.2017.1427
Pages: 847-850

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Abstract

Maxillary sinus cancer is rare, and often presents as a locally advanced disease. Recurrence commonly occurs locoregionally, while fewer patients present with distant metastasis; the most common sites involved are the lung and bone. This report discusses the case of a 64‑year‑old male who presented with a mass in the left submandibular area. Biopsy was performed and histological analysis identified a poorly differentiated squamous cell carcinoma. After staging work up, it was concluded the patient had a maxillary sinus squamous cell carcinoma at clinical stage IVA. The patient received a left partial maxillectomy and left radical neck dissection followed by postoperative chemoradiotherapy. After three months of CRT, the patient developed a left adrenal gland metastasis without locoregional failure. The patient subsequently received a laparoscopic left adrenalectomy and the results of histological analysis revealed a poorly‑differentiated squamous cell carcinoma. Within one month of surgery, the patient had developed multiple metastases at the left adrenalectomy site and succumbed to the disease four months later.

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