Author/Authors :
Mahajan, Anshul Department of Oral Medicine & Radiology - Maulana Azad Institute of Dental Sciences, New Delhi, India , Mohanty, Sujata Department of Oral & Maxillofacial Surgery - Maulana Azad Institute of Dental Sciences, New Delhi, India , Ghosh, Sujoy Department of Oral Medicine & Radiology - Maulana Azad Institute of Dental Sciences, New Delhi, India , Urs, Aadithya B. Department of Oral Pathology - Maulana Azad Institute of Dental Sciences, New Delhi, India , Khurana, Nita Department of Pathology - Maulana Azad Medical College, New Delhi, India , Gupta, Sunita Department of Oral Medicine & Radiology - Maulana Azad Institute of Dental Sciences, New Delhi, India
Abstract :
Sarcomatoid carcinoma (SC) is a rare variant of squamous cell carcinoma which is characterized by a dysplastic epithelial
component and a stromal element with invasive fusiform or spindle-shaped cells. *e clinical and histopathologic characteristics
make it very di4cult to distinguish SC from epithelioid sarcoma (ES). We present a case of a 51-year-old man with a soft tissue
mass in the oral cavity diagnosed as proximal variant of epithelioid sarcoma on incisional biopsy. A thorough radiologic examination was conducted to rule out the possibility of a primary elsewhere in the body. Supraomohyoid neck dissection,
mandibular resection, and reconstruction with recon plates were carried out. Histopathologic examination was suggestive of
epithelioid variant of SC which was contrary to the incisional biopsy report. *e dilemma in diagnosis was resolved by observing
the presence of invading atypical epithelial cells into the stroma con8rming the epithelial origin of the tumor
