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CASE REPORT
Year : 2014  |  Volume : 2  |  Issue : 1  |  Page : 137-144

Unusually delayed recurrence of a low grade mucoepidermoid carcinoma of the maxillary sinus


1 Medical officer, Department of ENT and Head-Neck Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India
2 Prof & HOD, Department of ENT and Head-Neck Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Nitish Virmani
H.No. 576, Sector – 37, Faridabad, Haryana – 121003
India
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Source of Support: None, Conflict of Interest: None


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Mucoepidermoid carcinoma (MEC) is a malignant epithelial neoplasm composed of both mucus secreting cells and epidermoid-type cells. Mucoepidermoid carcinoma arising from mucous glands of maxillary sinus is extremely rare and accounts for 13% of all malignancies occurring in maxillary sinus. While the high-grade MEC is a highly aggressive tumor, its low-grade counterpart usually demonstrates a more benign nature. However, both local recurrence and an aggressive clinical course have been reported to occur even with low-grade tumors. We report a case of low grade mucoepidermoid carcinoma of the maxillary sinus who presented to us with a recurrence 20 years after undergoing a total maxillectomy and post-operative adjuvant radiotherapy. The patient was successfully managed with wide excision of the tumor.


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