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Adenoid Cystic Carcinoma of Maxillary Sinus Misdiagnosed as Chronic Apical Periodontitis

Authors
 So-Young Park  ;  Chien-Yun Pi  ;  Euiseong Kim  ;  Yoon Lee 
Citation
 JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, Vol.75(6) : 13030.e1-13030.e7, 2017 
Journal Title
 JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY 
ISSN
 0278-2391 
Issue Date
2017
MeSH
Adult ; Biopsy ; Carcinoma, Adenoid Cystic/diagnostic imaging* ; Carcinoma, Adenoid Cystic/pathology* ; Carcinoma, Adenoid Cystic/surgery* ; Diagnosis, Differential ; Diagnostic Errors ; Facial Pain/pathology* ; Humans ; Male ; Maxillary Sinus/pathology* ; Paranasal Sinus Neoplasms/diagnostic imaging* ; Paranasal Sinus Neoplasms/pathology* ; Paranasal Sinus Neoplasms/surgery*
Abstract
Sometimes pain originating from a non-odontogenic pathologic condition is mistaken as endodontic illness, leading to misdiagnosis. The patient can misinterpret the pain as originating from a site different from the actual site, which is known as referred pain. However, the clinician managing pain in the orofacial region needs to be well-informed about the typical signs and symptoms of non-odontogenic diseases and to be able to make the correct referral when necessary for proper diagnosis and treatment. A 43-year-old man presented to the department of conservative dentistry complaining of dental pain. Despite nonsurgical root canal treatment and curettage, he complained that the pain had spread to an area inclusive of the right side of the head and face and the right eye. The patient's pain differed from the typical endodontic pain. Therefore, the patient received a diagnosis of non-odontogenic pain and was referred to the pain clinic. Brain magnetic resonance imaging and parotid contrast images showed a mass in the right maxillary sinus. In addition, destruction in the hard palate and alveolar recess adjacent to the sinus floor was found. Infiltration into the cavernous sinus through the pterygopalatine fossa was seen. A neurosurgeon partially removed the mass by performing an osteoplastic craniotomy on the right occipital bone with the patient under general anesthesia. On the basis of the biopsy results, an adenoid cystic carcinoma was diagnosed.
Full Text
https://www.joms.org/article/S0278-2391(17)30108-8/fulltext
DOI
10.1016/j.joms.2017.01.023
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Conservative Dentistry (보존과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eui Seong(김의성) ORCID logo https://orcid.org/0000-0003-2126-4761
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/160260
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