Para-nasal sinuses and multiple nasal cavities are seen to form in such diseases. The term ‘Para-nasal’ mean near the nose. This disease affects a person in the sixth or seventh decades of life. Most of the lesion does not show any apparent symptom. It makes diagnosis a tough job till the lesion perforated through the surrounding bone. Most patients are thus diagnosed at advanced stage. In the purview of clinical findings, the patient is made to submit under an incision biopsy, and the specimen is fixed in formaldehyde.
If the Carcinoma Maxilla is detected at the 1st or 2nd stage, surgery by a head and neck cancer surgeon is recommended, and that needs be followed by a radiation, if the surgery is failed to remove the cancer completely. Radiation is also suggested when there are stints of perineural invasion. Some specialists also recommend chemotherapy. Such radiations offered after surgery for cancer cases called adenoid cystic carcinoma..
At stage III and IVA, the cancer is treated with absolute radiation therapy. Lymph nodes at cervices may also be required to treat with radiation at times. Chemotherapy may also be suggested along-with. Such mode of treatment may sustain some side-effects. But it offers a surety in reducing the chances of reappearance of the cancer. Complete removal of tumor may be assured with application of radiation before surgery.
Cancers reaches stage IVB because the removal of main tumor was not possible. Strong radiation therapy is suggested by a cancer specialist. Chemo therapy coupled with targeted therapy constitutes the process. Application of targeted therapy depends on the severity of situation. Combination of surgery and radiation may be attempted for complete removal of cancer.
At stage IVC, the cancer is seen to spread beyond the head and neck. Treatment is aimed at palliation and improvement of quality of life i.e, targeted to slow down the spread of cancer and minimimise morbidity,.
Oncology is an ever evolving field of medicine and is matter of research and development. The author per say does not claim the following to be guidelines of practice in oncology. These are part of patient awareness initiative by Dr. Suvadip Chakrabarti MCh (Surgical Oncology), cancer doctor in Kolkata to educate people at large of various options in Oncology. It should not be taken to be practice guidelines.