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The Role of the General Dental Practitioner in the Detection of Squamous Cell Carcinoma of the Maxillary Antrum Andreas Chatzipantelis Stephen James Brown Alastair Campbell Dental Update 2024 45:1, 707-709.
Authors
AndreasChatzipantelis
BDS, MFDS, MSc, LLM
Dental Core Trainee in Restorative Dentistry, Charles Clifford Dental Hospital of Sheffield, UK
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.
CPD/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.
Article
Squamous cell carcinoma (SCC) of the maxillary antrum is an uncommon malignancy of the head and neck. Cancer Research UK reports that fewer than 400 patients are diagnosed each year with SCC of the maxillary sinus, corresponding to just 0.2% of cancer cases in the UK.1 In this case report, an SCC is presented located in the maxillary sinus, with initial symptoms resembling dental-related pathology. Finally, when a general dental practitioner should consider referral to secondary care will be discussed.
A 52-year-old male presented at A&E in a Yorkshire Hospital with a right-sided infra-orbital swelling. He complained of 3–4 weeks of pain which had slowly progressed to a swelling. He also reported the loss of a tooth from the same region. Medically, he was fit and well, a smoker of 6–10 cigarettes per day and he consumed 40 units alcohol per week. He was employed as a joiner.
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