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
Related Articles
- EP ID EP590286
- DOI 10.4236/jct.2012.36137
- Views 68
- Downloads 0
Gingival Veneer-An Esthetic Challenge for Gingival Recession Management.
Anterior dental esthetics becomes crucial in patients with periodontal disease with open embrasures, increased crown height, black triangles. Periodontal diseases result in damage and destruction of the supporting struct...
Endodontic Management of Maxillary Premolar Using Metapex And 2% Chlorhexidine As Intracanal Medicaments.
Repeated failures of Root canal treatment (RCT) teeth make us think for surgical management. This case report presents retreatment of a root canal treated case. Patient reported with history of undergoing root canal trea...
Orthodontic Management of Ectopically Erupting Central Incisor: A Conservative Approach.
Multiple treatment modalities are available for patients with ectopically erupting central incisor. Conservative management of this cases is important to prevent the adverse effect on psychology of patient and normal dev...
Biomechanical Stress Analysis of Mandibular First Permanent Molar Restored with Different Restorative Materials : A 3-Dimensional Finite Element Analysis.
Normal mastication with its varying magnitude and direction generates extensive intransigent stresses in teeth and their supporting tissues. The structure of the human tooth and its supporting tissues is a multifarious a...
Zygoma Implant for Atrophic Maxilla.
Zygomatic implants are preferred for dental rehabilitation with inadequate bone support more commonly in the posterior maxilla as an alternative to other bone grafting techniques with satisfactory and clinical successful...