Q:

A middle aged man who has had a history of chronic sinusitis, nasal obstruction and blood stained nasal discharge. He now presents with cheek swelling, epiphora, ptosis, diplopia, maxillary pain. What is the single most likely diagnosis?

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A middle aged man who has had a history of chronic sinusitis, nasal obstruction and blood stained nasal discharge. He now presents with cheek swelling, epiphora, ptosis, diplopia, maxillary pain. What is the single most likely diagnosis?


  1. Nasopharyngeal ca
  2. Pharyngeal ca
  3. Sinus squamous cell ca
  4. Squamous cell laryngeal ca
  5. Hypopharyngeal tumor

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The key is C. Sinus squamous cell ca.

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