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Infantile Fibrosarcoma of the Tongue Base
Ravi Meher1, Avani Jain2, Shramana Mandal3
1Department of ENT, MAMC, New Delhi, India.
Insights
This case report details a rare infantile fibrosarcoma of the tongue base in a child. Wide local excision and histopathology confirmed the diagnosis, highlighting management complexities.
Area of Science:
- Pediatric Oncology
- Surgical Pathology
Background:
- Infantile fibrosarcoma is a rare soft tissue tumor typically affecting extremities in infants and children.
- Head and neck presentations, especially within the oral cavity, are exceptionally uncommon.
Purpose of the Study:
- To report the first documented case of infantile fibrosarcoma originating from the tongue base.
- To discuss the diagnostic and management challenges associated with this rare pediatric tumor.
Main Methods:
- A comprehensive literature search was conducted to identify similar cases.
- Diagnostic confirmation relied on histopathological examination of the excised tumor.
- Surgical management involved wide local excision.
Main Results:
- Histopathology confirmed infantile fibrosarcoma of the tongue base in a 9-year-old boy.
- The tumor required wide local excision for treatment.
- This represents the first reported instance of infantile fibrosarcoma specifically located at the tongue base.
Conclusions:
- Infantile fibrosarcoma of the tongue base is an extremely rare pediatric entity.
- Accurate diagnosis necessitates thorough histopathological evaluation.
- Wide local excision, potentially combined with chemotherapy, is the recommended treatment approach.
Abstract:
Infantile fibrosarcoma is an uncommon soft tissue tumour in infants and children mostly located in the extremities. Its occurrence in the head and neck, particularly in the oral cavity is extremely rare. Here, we report a case of infantile fibrosarcoma of the tongue base in a 9-year-old boy and discuss the complexities in arriving at diagnosis and its management. The patient underwent wide local excision of the tumour. Histopathology was essential in confirming the diagnosis. As per search in English literature, this is the first case of infantile fibrosarcoma of the tongue base to be reported till date. Treatment of choice is wide local excision with or without chemotherapy.
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