Low-grade spindle cell sarcoma of the tonsil: a rare entity

Background: Spindle cell sarcoma of the tonsil is an extremely rare malignancy in the head and neck region. The initial clinical presentation can be an asymptomatic mass lesion, and the biopsy of this growing mass should be conducted to exclude a malignant process. In this case report, we described...

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Main Authors: Subha, Sethu Thakachy, Doi, Mohamad, Ahmad Saad, Fathinul Fikri, Mohd Yatim, Nor Yatizah
Format: Article
Published: Iranian Red Crescent Hospital of Dubai 2023
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author Subha, Sethu Thakachy
Doi, Mohamad
Ahmad Saad, Fathinul Fikri
Mohd Yatim, Nor Yatizah
author_facet Subha, Sethu Thakachy
Doi, Mohamad
Ahmad Saad, Fathinul Fikri
Mohd Yatim, Nor Yatizah
author_sort Subha, Sethu Thakachy
collection UPM
description Background: Spindle cell sarcoma of the tonsil is an extremely rare malignancy in the head and neck region. The initial clinical presentation can be an asymptomatic mass lesion, and the biopsy of this growing mass should be conducted to exclude a malignant process. In this case report, we described a patient with spindle cell sarcoma of the tonsil with good clinical outcomes after surgery alone. Case presentation: A 38-year-old male presented with a foreign body sensation of the throat, and clinical examination revealed asymmetrical enlargement of the right tonsil. Tonsillectomy was performed, and histopathological examination and immunohistochemistry analysis revealed a low-grade spindle cell sarcoma of the tonsil. He developed local recurrence at 12 months and underwent wide local excision. The patient remained well without any local recurrences and metastases 8 years after diagnosis. Conclusion: We reported this case study in an effort to increase the awareness of spindle cell sarcoma of the tonsil and to emphasize the challenges in the diagnosis of this sarcoma. Surgical extirpation with a clear margin appeared to be an adequate treatment for the low-grade spindle cell sarcoma of the tonsil.
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spelling upm.eprints-1102182024-07-04T06:31:17Z http://psasir.upm.edu.my/id/eprint/110218/ Low-grade spindle cell sarcoma of the tonsil: a rare entity Subha, Sethu Thakachy Doi, Mohamad Ahmad Saad, Fathinul Fikri Mohd Yatim, Nor Yatizah Background: Spindle cell sarcoma of the tonsil is an extremely rare malignancy in the head and neck region. The initial clinical presentation can be an asymptomatic mass lesion, and the biopsy of this growing mass should be conducted to exclude a malignant process. In this case report, we described a patient with spindle cell sarcoma of the tonsil with good clinical outcomes after surgery alone. Case presentation: A 38-year-old male presented with a foreign body sensation of the throat, and clinical examination revealed asymmetrical enlargement of the right tonsil. Tonsillectomy was performed, and histopathological examination and immunohistochemistry analysis revealed a low-grade spindle cell sarcoma of the tonsil. He developed local recurrence at 12 months and underwent wide local excision. The patient remained well without any local recurrences and metastases 8 years after diagnosis. Conclusion: We reported this case study in an effort to increase the awareness of spindle cell sarcoma of the tonsil and to emphasize the challenges in the diagnosis of this sarcoma. Surgical extirpation with a clear margin appeared to be an adequate treatment for the low-grade spindle cell sarcoma of the tonsil. Iranian Red Crescent Hospital of Dubai 2023 Article PeerReviewed Subha, Sethu Thakachy and Doi, Mohamad and Ahmad Saad, Fathinul Fikri and Mohd Yatim, Nor Yatizah (2023) Low-grade spindle cell sarcoma of the tonsil: a rare entity. Iranian Red Crescent Medical Journal, 25 (9). art. no. 1624. pp. 1-3. ISSN 2074-1804; ESSN: 2074-1812 https://ircmj.com/issue_26038_26050.html 10.32592/ircmj.2023.25.9.1624
spellingShingle Subha, Sethu Thakachy
Doi, Mohamad
Ahmad Saad, Fathinul Fikri
Mohd Yatim, Nor Yatizah
Low-grade spindle cell sarcoma of the tonsil: a rare entity
title Low-grade spindle cell sarcoma of the tonsil: a rare entity
title_full Low-grade spindle cell sarcoma of the tonsil: a rare entity
title_fullStr Low-grade spindle cell sarcoma of the tonsil: a rare entity
title_full_unstemmed Low-grade spindle cell sarcoma of the tonsil: a rare entity
title_short Low-grade spindle cell sarcoma of the tonsil: a rare entity
title_sort low grade spindle cell sarcoma of the tonsil a rare entity
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