Synchronous Carcinoma of Mid Oesophagus and Maxillary Sinus: A Rare Case Report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
The incidence of synchronous second primary cancers (SPC) in patients with squamous esophageal cancer (EC) is reported to be 5% to 10%. The most wellknown sites for SPC are aerodigestive tract organs, such as the oral cavity, pharynx, larynx and lung. The association between SPCs and these cancers can be explained by a process called ‘field cancerization,’ which arises from exposure to common carcinogenic agents such as tobacco smoke. EC patients with synchronous SPC showed different clinical features and had poor survival due to challenges in providing stage-appropriate treatment. The unexpected diagnosis of synchronous SPC complicates physicians’ therapeutic decision-making because details on the treatment and survival of EC patients with SPC are limited. The causes of their typically poor prognosis were found to be related to the difficulty of operation, higher rates of complications, patient intolerance, and disease progression, such that these patients were generally thought to be candidates for palliative care Here we report a rare case of synchronous malignancy of esophagus and maxillary sinus which was successfully managed in our institute by concurrent chemoradiation.
Authors and Affiliations
Vimal Sekar, Deepsikha Das, IndiborYengkhom Singh
Keywords
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- EP ID EP431008
- DOI 10.9790/0853-1801033941.
- Views 64
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