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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
A RARE CASE OF LOW GRADE MYOFIBROBLASTIC SARCOMA OF THE MANDIBLE
Author
Mranalini Verma
Email
shilpisinghal2003@gmail.com
keyword
Low grade myofibroblastic sarcoma, Negative margins, Contrast enhanced computed tomography, Histopathology.
Abstract
A 19 year young girl was referred to our institute with a swelling over right alveolus that had progressed over last two months. She was having history of frequent oral bleed without any other associated systemic or local symptoms. No significant personal or family history was present. Her systemic examination was unremarkable and on local examination, there was a 3x4 cm fleshy, bosselated mass involving right lower alveolus at the level of last premolar to 2nd molar and crossing laterally to gingivo-buccal sulcus through the inter-molar space without involving any other adjacent structures (tongue/ floor of mouth) and neck nodes. Routine haematological and biochemical investigations were within normal range except haemoglobin of 10.3 gm%. Contrast enhanced computed tomography (CECT) scan of face and neck revealed soft tissue mass attached to right lower alveolus with feeders in arterial and venous phase; angiography suggested all these feeders from facial artery (figure 1). Possibility of arterio-venous malformation was kept in mind and planned for excision. Histopathology was suggestive of low grade myofibroblastic sarcoma with negative margins, which was further confirmed by immunohistochemistry of tumor cells (positive for SMA and negative for Desmin, CD34 and S-100).
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