Details

Ulceration of the face resulting from a carcinoma of the maxillary air-sinus.

GC.12334

Maxilla, anterior segment of coronal section of the head, injected, showing ulceration of the face resulting from a carcinoma of the air-sinus of the left. Of an adult male who on admission to hospital was the subject of a tumour of the left side of the face involving the cheek and the left side of the nose and obscuring the left eye. Sometime later the skin overlying the tumour became ulcerated, the tumour tissue fungated through the opening and there was frequent haemorrhage. The left cheek is replaced by an irregular excavation surrounded by a massive, more or less warty overgrowth of tumour involving the upper lip, deforming the mouth, and crossing the middle line as far as the margin of the right ala nasi. The warty formation is particu¬larly obvious over the bridge of the nose which is hidden by the tumour, and the bulging mass conceals the left eye. There is some tumour tissue on the floor of the nose and on the lateral wall of the left nasal cavity, and on the roof of the mouth the palate is replaced by three smooth submucous tumour masses of which the left one is considerably the largest. Microscopically re-examination confirm the presence of a tumour growth which is diffusely cellular and which might be a spheroidal-cell carcinoma or a sarcoma.

Late eighteenth/early nineteenth century