Pleomorphic sarcoma of the oral cavity: A rare case entity

Sharada T Rajan; S Elengkumaran; Malathi Narasimhan; C Ravindran

doi:10.4103/jpbs.jpbs_197_21

Journal of Pharmacy And Bioallied Sciences

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CASE REPORT

Year : 2021 | Volume : 13 | Issue : 6 | Page : 1747-1749

Pleomorphic sarcoma of the oral cavity: A rare case entity

Sharada T Rajan¹, S Elengkumaran², Malathi Narasimhan³, C Ravindran⁴
¹ Department of Oral Pathology, Faculty of Dental Sciences, SRIHER, Chennai, Tamil Nadu, India
² Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, SRIHER, Chennai, Tamil Nadu, India
³ Department of Oral Pathology, SRIHER, Chennai, Tamil Nadu, India
⁴ Dean, Faculty of Dental Sciences, SRIHER, Chennai, Tamil Nadu, India

Correspondence Address:
S Elengkumaran
Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, SRIHER, Chennai, Tamil Nadu
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/jpbs.jpbs_197_21

Pleomorphic sarcomas are extremely rare in the oral cavity, representing only 5% of all soft tissue sarcomas in the extremities of adults. They form a group of highly undifferentiated pleomorphic malignant tumors. A 36-year-old male reported to the OP with a chief complaint of a tooth ache in the right lower quadrant for the past 6 months. The patient gave a history of extraction of a mobile tooth in that region. A radiograph of the region was advised. An incisional biopsy was also done and sent for histopathological examination. The microscopy revealed the presence of spindle-shaped cells showing dysplastic features. A panel of immunohistochemical markers were performed to identify the tissue of origin of the lesion. The article details the clinical, radiographic, and microscopic features of a pleomorphic soft tissue lesion along with the array of immunohistochemical markers, leading to the final diagnosis of such enigmatic lesions.

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