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Case Reports
. 2019 Jun;18(2):233-237.
doi: 10.1007/s12663-018-1119-y. Epub 2018 May 28.

Sarcomatoid Carcinoma: "A Surgeons Nightmare"

Keerthi Ramesh  1 , Abhishek Khatua  1 , Abhishek Bhattacharjee  1 , Smriti Ticku  1
Affiliations
Case Reports

Sarcomatoid Carcinoma: "A Surgeons Nightmare"

Keerthi Ramesh et al. J Maxillofac Oral Surg. 2019 Jun.

Abstract

Sarcomatoid carcinoma (SC) is a rare and unique disease of the oral cavity. It is a biphasic squamous cell carcinoma with sarcoma-like characteristics. It is a strikingly aggressive lesion with a rapid rate of growth and a high rate of metastasis. Diagnosing a sarcomatoid carcinoma may present a challenge; most can only be ascertained by immunohistochemical study. An aggressive treatment plan should be devised for this uncompromising disease with a readiness to accept the dire outcome. We hereby present a case of a 50-year-old male patient, with no history of deleterious habit, diagnosed with SC of the buccal mucosa that proved to be fatal.

Keywords: Biphasic; Collision tumour; Pseudocarcinoma; Rare tumour; Reconstruction local flaps; Spindle cell carcinoma.

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Conflict of interest statement

Compliance with Ethical StandardsNo conflict of interest declared between any authors. No financial support/grant obtained from any source. Patient’s and relatives’ consent for publication has been taken.

Figures

Fig. 1
Fig. 1
One and a half week postop rebiopsy showing exponential increase in size
Fig. 2
Fig. 2
USG scans
Fig. 3
Fig. 3
MRI showing hyperintense lesion in right Buccal mucosa
Fig. 4
Fig. 4
Histopathology and immunohistochemistry report
Fig. 5
Fig. 5
Wide excision with right hemimandibulectomy and right maxillary alveolectomy with MRND type II
Fig. 6
Fig. 6
PMMC flap and DP dissected and raised for reconstruction
Fig. 7
Fig. 7
Immediate postop
None
Overall survival probabilities were estimated using Kaplan–Meier curves 2
See this image and copyright information in PMC

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