Abstract

Fibrosarcoma of the oral and maxillofacial region is a rare entity with poor prognosis. Most common sites are the extremities, with only one percent of fibrosarcoma arising in the head and neck area. Oral fibrosarcoma are locally infiltrative and destructive, spreads by haematogenous dissemination. The positive immunostaining for vimentin, together with negativity for muscular immunomarkers help to diagnosis the fibrosarcoma. Surgical management of fibrosarcoma in maxillofacial region is far from satisfactory, because of lack of inadequate clearance. This paper describes an unusual case of soft tissue fibrosarcoma of premaxillary region in an adult aged 71 years.

Highlights

  • Fibrosarcoma is a neoplasm of mesenchymal cell origin that is composed of malignant fibroblasts in a collagenous background.[1]

  • This report describes a patient with soft tissue fibrosarcoma of the anterior maxillary region with clinical, radiographic, pathological and management aspects

  • Fibrosarcomas may develop in any mesenchymal tissue in which fibroblasts are present, they are most frequently located in the extremities and the trunk

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Summary

Introduction

Fibrosarcoma is a neoplasm of mesenchymal cell origin that is composed of malignant fibroblasts in a collagenous background.[1] Kulander and Bolen[2] defined it as a neoplasm of fibroblasts capable of producing metastatic spread. It can occur in any location, bone extremities being the main affected site. Fibrosarcoma is a very rare malignancy with possible occurrence in the whole head and neck region. It accounts only for one percent of all tumours in this region. This report describes a patient with soft tissue fibrosarcoma of the anterior maxillary region with clinical, radiographic, pathological and management aspects

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