A Case Report on Rare Entity: Spindle Cell Carcinoma of Maxillary Alveolus.
Journal Title: International Journal of Dental Science and Innovative Research (IJDSIR) - Year 2019, Vol 2, Issue 3
Abstract
Background: Spindle Cell Carcinoma also known as sarcomatoid carcinoma is a rare biphasic malignant neoplasm and an unusual form of poorly differentiated squamous cell carcinoma that occurs mainly in the upper aerodigestive tract. This tumour was labelled by World Health Organisation and they classified this tumour under a highly malignant variant of squamous cell carcinoma. This article deals with reporting an unusual case of exophytic spindle cell carcinoma of maxilla. Methods: A 60 year old male patient presented with growth in the left maxillary alveolus region for past 3 months. Clinical examination revealed well defined exophytic growth present on the left side of maxillary alveolus extending to hard palate measuring with absence of bleeding or discharge. The patient was advised to get panoramic radiograph and Computed tomography done. With proper consent, an incisional biopsy was obtained from the growth. Results: The diagnosis of spindle cell carcinoma was made and he patient was referred for treatment consisting of surgical excision of the tumour. Patient was reviewed periodically and healing was satisfactory with no signs of recurrence. Conclusion: Spindle cell carcinoma involving head and neck region is a rare and unique variant of squamous cell carcinoma which potentially aggressive than the classical squamous cell carcinoma. It has high recurrence rate and greater tendency to metastasize. Patients diagnosed at an early stage have excellent prognosis while those whose tumors are deeply invasive have a poor prognosis.
Authors and Affiliations
Dr. Anju Mathew
Keywords
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