Article: Volume 45 Number 1 Page 71 - January 2018

  Dent Update 2018; 45: 71-75  Read article

Oral Cancer:  The Role of the General Dental Practitioner in the Detection of Squamous Cell Carcinoma of the Maxillary Antrum

CPD:  CPD  0:24   (closed)      Self assess

Feedback:  0 comments, 0 ratings


Abstract: Antral squamous cell carcinoma (SCC) is a relatively uncommon head and neck malignancy. Fewer than 400 cases are reported annually in the UK. As it is uncommon and often shows slow progression, it can be misdiagnosed in the early stages. This report describes a case involving a 52-year-old patient who presented at the emergency department of a district hospital complaining of facial swelling and recent dental issues. Further investigation revealed the presence of a mass in the right maxillary antrum, subsequently confirmed as SCC on histology. Significant pathology may be the underlying cause of symptoms which appear trivial. Persistent symptoms in the absence of a reasonable cause should raise suspicion.

Clinical relevance: A general dental practitioner is likely to be the initial point of contact of patients with maxillary antrum malignancies of the maxillary sinus; identification of suspicious signs and symptoms can help in early detection and treatment.

Author notes: Andreas Chatzipantelis, BDS, MFDS, MSc, LLM, Dental Core Trainee in Restorative Dentistry, Charles Clifford Dental Hospital of Sheffield, Stephen James Brown, BSc(Hons), BDS, MJDF, Specialty Registrar in Oral Pathology, Royal Infirmary of Edinburgh and Alastair Campbell, BDS, MFDS, Specialty Dentist in Oral and Maxillofacial Surgery, York District Hospital, Wigginton Road, York, North Yorkshire YO31 8HE, UK.

Objective: To understand the clinical importance of the early detection of maxillary sinus malignancies and the potential challenges of the identification of suspicious signs and symptoms. Enhanced CPD DO C