Spindle Cell Neoplasm of Left Supra Scapular Region: Rare Case

Abstract

One challenging feature of head and neck pathology is that a dizzying array of spindle cell lesions occurs here ranging all the way from reactive to malignant and very aggressive. Most SPN are overtly malignant, and the differential diagnosis then includes a number of different malignant spindle cell neoplasm. However, there are several benign or even non-neoplastic lesions that can sometimes be difficult to discern from SPN. The pathologic and clinical features can resolve this differential diagnosis. This case highlights a rare presentation of SPN over suprascapular region and the need for pre-operative diagnosis. A 23-year-old gentleman presented with a pre-existing left supra scapular mass had gradually increased in size. FNAC were performed and results discussed in the multidisciplinary team meeting. Excision of swelling was done. Histopathology of specimen showed spindle cells neoplasm (low grade) cellular. Based on this report, post-operative radiotherapy was planned. Spindle cell neoplasm is a rare tumour over supra scapular region.

Keywords: spindle cell neoplasm, supra scapular, radiotherapy