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A case of maxillary bone metastasis from lung cancer

Takeshi Kusunoki, Hirotomo Homma, Yoshinobu Kidokoro, Aya Yanai, Katsuhisa Ikeda, Ryo Wada
  • Takeshi Kusunoki
    Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan | ttkusunoki001@aol.com
  • Hirotomo Homma
    Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan
  • Yoshinobu Kidokoro
    Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan
  • Aya Yanai
    Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, ShizuokaDepartment of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan
  • Katsuhisa Ikeda
    Department of Otorhinolaryngology, Juntendo University of Medicine, Faculty of Medicine, Shizuoka, Japan
  • Ryo Wada
    Department of Pathology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Shizuoka, Japan

Abstract

We experienced a very rare case of maxillary bone metastasis from lung cancer. The patient was a 77-year-old Japanese man with 1-month history of right alar swelling with hard pain as his chief complaint. Computed tomography scan showed a 1 cm length round lesion in the right nasal vestibule close to the pyriform fossa edge of the right maxillary bone. He had severe pulmonary dysfunction due to recurrent end stage lung cancer and diabetes. The expected remainder of his life would be half a year. Therefore, his very poor condition precluded general anesthesia. To relieve the nasal pain, shorten the stay in the hospital and improve the quality of life (QOL), we performed minimally invasive surgery under local anesthesia. Our minimally invasive surgery could improve QOL by relieving the hard nasal pain until the recurrence of cancer and enable the patient to live at home.

Keywords

Maxillary bone metastasis; lung cancer; minimally invasive surgery.

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Submitted: 2015-10-25 03:50:03
Published: 2015-12-28 17:29:56
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Copyright (c) 2015 Takeshi Kusunoki, Hirotomo Homma, Yoshinobu Kidokoro, Aya Yanai, Katsuhisa Ikeda, Ryo Wada

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