The lymph node not to be involved first in maxillary carcinoma:-

Submandibular lymph nodes are not to be involved first in maxillary carcinoma. CARCINOMA OF MAXILLARY SINUS Common in 40-60 years of age, more common in malesQ Systemic metastasis are rare, may be seen in lungs (MC)Qand occasionally in bone. CLINICAL FEATURES Early features of maxillary sinus malignancy are nasal stuffiness, blood stained discharge, facial paraesthesia, or pain and epiphoraQ. Nodal metastasis is uncommon and occurs only in the late stage of disease. Maxillary tumors mainly spread to mandibular nodesQ. DIAGNOSIS: CT scan: Best non-invasive method to find the extent of disease. TREATMENT For SCC, combination of radiotherapy and surgeryQgives better results than either alone. Radiotherapy can be given before or after surgery.