
Palliative Management of Sarcomatoid Buccal Carcinoma by Laser Ablation
Correspondence Address :Rusy S Bhalla,
803, Tripoli Skyline Oasis, Premier Road Vidyavihar West,
Mumbai, Maharashtra, India.
E-mail: rusybhalla@gmail.com
Sarcomatoid change in buccal carcinoma is a rare and aggressive variant of Squamous Cell Carcinoma (SCC) and most often a diagnostic dilemma. There are some reports of second primary sarcomatous tumours in the oral cavity and nasopharynx post irradiation. Synchronous and metachronous lesions in this category in the oral cavity and neck have also been reported. Spindle cell neoplasms comprise a diverse collection of benign and malignant tumours. These tumours are uncommon in the oral cavity, accounting for <1% of all tumours of oral region. It is an unusual aggressive variant that frequently recurs and metastasises. Herein, the author present a case report of a 45-year-old Indian male with a sarcomatoid lesion according to his previous reports in the oral cavity of five months duration at presentation. The patient presented late as he was not willing for surgery and hence a very extensive 9×5 cm lesion was observed. In addition, he had trismus, multiple, firm, fixed lymph nodes in the ipsilateral neck. The biopsy of the oral cavity tumour showed a histological appearance of spindle shaped cells with penetration of basement membrane suggestive of sarcomatoid carcinoma. He was treated with repeated ablative laser technique for the primary and metastatic nodes in the neck disease and chemotherapy. The patient resumed normal activities 14 days after the laser ablation.
Laser in oral cancer, Oral carcinoma, Sarcomatoid carcinoma, Squamous cell carcinoma
DOI: 10.7860/JCDR/2021/46409.14555
Date of Submission: Aug 22, 2020
Date of Peer Review: Oct 04, 2020
Date of Acceptance: Dec 24, 2020
Date of Publishing: Feb 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Sep 07, 2020
• Manual Googling: Nov 07, 2020
• iThenticate Software: Jan 15, 2021 (15%)
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