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Myofibrosarcoma of Maxilla - Case Report and Review of Literature.

Surendra K DabasNandini N MenonReetesh RanjanBikas GurungSukirti TiwariBharat Bhushan BassanHimanshu ShuklaRahul KapoorVinay Kumar VermaDevesh VermaSaurabh AroraJasbir SinghAshwani SharmaRishu SingalAjit Sinha
Published in: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India (2024)
Myofibrosarcoma is a distinct mesenchymal malignancy which commonly occurs in head and neck region. It has a high tendency for local recurrence and distant metastasis. 39-year-old male presented with epistaxis, nasal obstruction and left sided complete loss of vision. He underwent functional endoscopic sinus surgery and guided biopsy. MRI scan showed a lesion epicentred in the left maxillary sinus, superiorly extending into the orbit. He underwent Class 4b maxillectomy with neck dissection, tracheostomy and free flap reconstruction. Histopathological examination yielded final diagnosis as myofibrosarcoma of maxilla. The patient was planned for adjuvant radiotherapy and has been disease free for 3 years.
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