Background: Sarcomatoid carcinoma (SC) of paranasal sinuses is a rare variant of squamous cell carcinoma. We present the case of a patient with maxillary sinus tumor projecting into the oral cavity.
Case Presentation: We describe a 79-year-old male who visited the oncology department with complaints of soft tissue growth in the oral cavity. An imaging showed an infiltrating left maxillary antrum mass with locoregional destruction and multiple bone metastases. Histopathology proved this mass as SC. The patient was unfit for surgical resection, so he managed palliatively with radiotherapy.
Conclusion: Being a rare entity, management is debatable, but radical surgery followed by adjuvant radiotherapy confers a better disease control. However, if tumor is unresectable, then radiotherapy alone can be helpful in the palliative management of this tumor.
Key words: Sarcomatoid carcinoma, paranasal sinuses, maxillary sinus, radiotherapy, skeletal metastasis, case report
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