Research Article| Volume 110, ISSUE 4, P502-509, October 1965

Therapy and staging in advanced cancer of the maxillary antrum

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      The history of sixty-nine cases of carcinoma of the maxillary antrum seen at the Ellis Fischel State Cancer Hospital between 1940 and 1964 is reported. Factors influencing prognosis are reported to assist in further refinement in staging of this type of cancer. Past experience and current practices suggest that the proper therapy for these lesions includes: (1) sinusotomy for open drainage and treatment of infection, (2) radiotherapy to 5,000 r tumor dose in five weeks preoperatively for resectable tumors, (3) larger and more protracted irradiation as the sole treatment for unresectable lesions, (4) radical antrectomy generally necessitating an orbital exenteration when a wall of the orbit is involved or extirpation of the contents of the subtemporal fossa for posterior extension, and (5) radical neck dissection for cervical lymph node metastases.
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