- Volume 41 Issue 1
DOI QR Code
Adenoid Cystic Carcinoma on the Left Maxillary Sinus Showed Symptoms Analogous to Temporomandibular Disorder
- Lee, Sunhee (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute) ;
- Park, Yang Mi (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute) ;
- Heo, Jun-Young (Department of Oral Medicine, Pusan National University Dental Hospital, Dental Research Institute) ;
- Jeong, Sung-Hee (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute) ;
- Ahn, Yong-Woo (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute) ;
- Ok, Soo-Min (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute)
- Received : 2016.02.15
- Accepted : 2016.03.09
- Published : 2016.03.30
Malignant tumors located in the head and neck areas intermittently show symptoms similar to a temporomandibular disorder (TMD). In our case, a patient who first visited us complaining of TMD-like symptoms, such as trismus and temporomandibular joint (TMJ) pain on the left side, was identified as a sufferer of adenoid cystic carcinoma (ACC) that arose from the left maxillary sinus. The patient may have a TMD symptom, but we are skeptical because the patient also complained of a spontaneously developed numbness on the same side of his upper lip. We observed the panoramic radiograph closely and found the blurred maxillary sinus inferior wall. Dental cone-beam computed tomography confirmed the tentative diagnosis of malignancy on the maxillary sinus. After he had been referred to the Department of Otolaryngology, the diagnosis of the ACC was confirmed. Adequate diagnosis is vital for a quick treatment of the malignancy. There are some keys for differential diagnosis of TMD-like symptoms.
Supported by : Pusan National University Dental Hospital
- Dillon PM, Chakraborty S, Moskaluk CA, Joshi PJ, Thomas CY. Adenoid cystic carcinoma: a review of recent advances, molecular targets, and clinical trials. Head Neck 2016;38:620-627. https://doi.org/10.1002/hed.23925
- Sapp JP, Eversole LR, Wysocki GP. Contemporary oral and maxillofacial pathology. 2nd ed. St. Louis, MO: Mosby; 2004. pp. 368-370.
- Ko SO, Kwon TG, Kwon JJ, et al. Textbook of oral and maxillofacial surgery. Seoul: Dental & Medical Publishing; 2005. pp. 195-206.
- Andrade MF, de Faria PR, Cardoso SV, et al. Adenoid cystic carcinoma of the maxillary sinus: a clinical-pathological report of 10 years of experience from a single institution. Int J Oral Maxillofac Surg 2014;43:1313-1318. https://doi.org/10.1016/j.ijom.2014.06.016
- Ariji Y, Fuwa N, Toyama M, Katoh M, Gotoh M, Ariji E. MR features of masticatory muscles in adenoid cystic carcinoma involving the masticator space. Dentomaxillofac Radiol 2004;33:345-350. https://doi.org/10.1259/dmfr/45532072
- Heo MS, An BM, Lee SS, Choi SC. Use of advanced imaging modalities for the differential diagnosis of pathoses mimicking temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:630-638. https://doi.org/10.1016/S1079-2104(03)00373-1
- Okeson JP. Bell's oral and facial pain. 7th ed. Chicago, IL: Quintessence Publishing; 2014. pp. 473-474.
- White SC, Pharoah MJ. Oral radiology: principles and interpretation. 6th ed. St. Louis, MO: Mosby; 2009. pp. 405-409.