Key result
Immunohistochemical analysis confirmed the diagnosis of undifferentiated pleomorphic sarcoma of the mandible by showing positivity for vimentin, KI67, and CD68.
Why the study?
Undifferentiated pleomorphic sarcoma involving the mandible is rare and challenging to diagnose without correlating clinical presentation with histopathological and immunohistochemistry findings.
Case Report (n=1)
Immunohistochemistry is essential for the accurate diagnosis of rare undifferentiated pleomorphic sarcoma of the mandible, which can clinically mimic squamous cell carcinoma.
IHC supports UPS diagnosis in mandible; case reports leave open standardized criteria and management trials.
Undifferentiated pleomorphic sarcoma (UPS) is a rare entity found in the oral cavity which involves the mandible in only 3% of all UPS bone lesions. The correlation of the clinical presentation of the neoplasm with the histopathological and immunohistochemistry findings is very important for appropriate diagnosis. Its incidence in membranous bone like mandible is rare. According to our literature search in the PubMed database, there are only four reported cases from India some of which does not have any immunohistochemistry findings to confirm the diagnosis. We present a rare case of UPS of mandible which was clinically mimicking squamous cell carcinoma. Upon immunohistochemical analysis, we found vimentin, KI67, CD68 positive and desmin, Melan A, LCA, S100 and myogenin negative, which lead us to the diagnosis of UPS.
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Mahapatra et al. (2024) conducted a case report in Undifferentiated pleomorphic sarcoma (UPS) of the mandible (n=1). Immunohistochemical analysis was evaluated on Diagnosis of undifferentiated pleomorphic sarcoma. Immunohistochemical analysis confirmed the diagnosis of undifferentiated pleomorphic sarcoma of the mandible by showing positivity for vimentin, KI67, and CD68.
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