Undifferentiated pleomorphic sarcoma in the maxillary sinus: a case report.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Seyed Hosein Tabatabaei, Alireza Navabazam, Mohammad Amin Yektaie, Farinaz Sabaghzadegan
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引用次数: 0

Abstract

Background: Undifferentiated pleomorphic sarcoma, previously called malignant fibrous histiocytoma, is a type of malignant mesenchymal tumor (sarcoma) of soft tissue and sometimes bone. It is uncommon in the oral cavity and very sporadic in the maxillary sinus. Microscopic diagnosis of this malignancy in the maxillary sinus can be very challenging, because there is a range of features that may overlap with other benign and malignant tumors.

Case presentation: In this paper, we report a case of undifferentiated pleomorphic sarcoma in the maxillary sinus of a 61-year-old Iranian man who was referred to the maxillofacial surgery ward due to pain and swelling of the upper jaw and visual problems in the right eye. In the initial incisional biopsy, peripheral giant cell granuloma was diagnosed in the hospital service. Yet, on request of the surgeon, during reviewing the slides in the oral pathology service of the School of Dentistry, and using an immunohistochemical method, undifferentiated pleomorphic sarcoma was diagnosed. In this paper, a case of undifferentiated pleomorphic sarcoma in the maxillary sinus is reported, with an emphasis on the management of its problems and diagnostic errors.

Conclusion: This study reviews the challenges and histopathological diagnostic errors of this uncommon tumor in this rare location. This lesion may be similar to other malignant tumors, and its correct diagnosis requires a detailed and complete examination.

上颌窦未分化多形性肉瘤1例。
背景:未分化多形性肉瘤,以前称为恶性纤维组织细胞瘤,是一种软组织,有时也包括骨的恶性间充质肿瘤(肉瘤)。它在口腔少见,在上颌窦很少见。这种上颌窦恶性肿瘤的显微镜诊断非常具有挑战性,因为它的一系列特征可能与其他良性和恶性肿瘤重叠。病例介绍:在本文中,我们报告一例未分化的多形性肉瘤在上颌窦的一个61岁的伊朗男子谁被转介到颌面外科病房由于疼痛和肿胀的上颌和右眼视力问题。在最初的切口活检中,周围巨细胞肉芽肿被诊断为医院服务。然而,应外科医生的要求,在牙科学院口腔病理服务部门检查切片时,并使用免疫组织化学方法,诊断为未分化多形性肉瘤。本文报告一例上颌窦未分化多形性肉瘤,并着重于其问题的处理和诊断错误。结论:本研究回顾了这一罕见部位的罕见肿瘤的挑战和组织病理学诊断错误。这种病变可能与其他恶性肿瘤相似,其正确诊断需要详细完整的检查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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