Post Irradiation Spindle Cell Carcinoma of Tonsillar Pillar

Spindle cell carcinoma of the tonsillar pillar is a rare malignancy. A case of spindle cell carcinoma of the anterior tonsillar pillar in a 59-year-old man is presented. A growth on the anterior tonsillar pillar, measuring 9×7×6 mm, was resected. The neoplasm occurred as a complication of radiothera...

Full description

Saved in:
Bibliographic Details
Main Authors: Prateek Kinra, V. Srinivas, Kavita Sinha, Vibha Dutta
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/325193
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832564190195220480
author Prateek Kinra
V. Srinivas
Kavita Sinha
Vibha Dutta
author_facet Prateek Kinra
V. Srinivas
Kavita Sinha
Vibha Dutta
author_sort Prateek Kinra
collection DOAJ
description Spindle cell carcinoma of the tonsillar pillar is a rare malignancy. A case of spindle cell carcinoma of the anterior tonsillar pillar in a 59-year-old man is presented. A growth on the anterior tonsillar pillar, measuring 9×7×6 mm, was resected. The neoplasm occurred as a complication of radiotherapy (excessive cumulative radiation dose of 60 Gray) for carcinoma larynx with a latency period of three years. Postradiation spindle cell carcinoma is an uncommon disease manifesting as sarcoma in a previously irradiated field, usually with a latent period of 5 years or more. Literature is limited to small series. Histologically, this tonsillar growth was composed of a squamous cell carcinoma (epithelial component) and a spindle cell sarcomatous component. The two components of the tumour were confirmed using the immunohistochemical staining (cytokeratin and vimentin). Further p53 positivity of the sarcomatous elements aided in ruling out radiation-induced nonmalignant changes of mesenchymal tissue. This paper discusses this rare tumour in a common setting.
format Article
id doaj-art-4de95224ac9e40689d661becf06d179c
institution Kabale University
issn 1687-9627
1687-9635
language English
publishDate 2011-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-4de95224ac9e40689d661becf06d179c2025-02-03T01:11:34ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/325193325193Post Irradiation Spindle Cell Carcinoma of Tonsillar PillarPrateek Kinra0V. Srinivas1Kavita Sinha2Vibha Dutta3Department of Pathology, Armed Forces Medical College, Pune 411040, IndiaDepartment of Pathology, Armed Forces Medical College, Pune 411040, IndiaDepartment of Pathology, Armed Forces Medical College, Pune 411040, IndiaDepartment of Pathology, Armed Forces Medical College, Pune 411040, IndiaSpindle cell carcinoma of the tonsillar pillar is a rare malignancy. A case of spindle cell carcinoma of the anterior tonsillar pillar in a 59-year-old man is presented. A growth on the anterior tonsillar pillar, measuring 9×7×6 mm, was resected. The neoplasm occurred as a complication of radiotherapy (excessive cumulative radiation dose of 60 Gray) for carcinoma larynx with a latency period of three years. Postradiation spindle cell carcinoma is an uncommon disease manifesting as sarcoma in a previously irradiated field, usually with a latent period of 5 years or more. Literature is limited to small series. Histologically, this tonsillar growth was composed of a squamous cell carcinoma (epithelial component) and a spindle cell sarcomatous component. The two components of the tumour were confirmed using the immunohistochemical staining (cytokeratin and vimentin). Further p53 positivity of the sarcomatous elements aided in ruling out radiation-induced nonmalignant changes of mesenchymal tissue. This paper discusses this rare tumour in a common setting.http://dx.doi.org/10.1155/2011/325193
spellingShingle Prateek Kinra
V. Srinivas
Kavita Sinha
Vibha Dutta
Post Irradiation Spindle Cell Carcinoma of Tonsillar Pillar
Case Reports in Medicine
title Post Irradiation Spindle Cell Carcinoma of Tonsillar Pillar
title_full Post Irradiation Spindle Cell Carcinoma of Tonsillar Pillar
title_fullStr Post Irradiation Spindle Cell Carcinoma of Tonsillar Pillar
title_full_unstemmed Post Irradiation Spindle Cell Carcinoma of Tonsillar Pillar
title_short Post Irradiation Spindle Cell Carcinoma of Tonsillar Pillar
title_sort post irradiation spindle cell carcinoma of tonsillar pillar
url http://dx.doi.org/10.1155/2011/325193
work_keys_str_mv AT prateekkinra postirradiationspindlecellcarcinomaoftonsillarpillar
AT vsrinivas postirradiationspindlecellcarcinomaoftonsillarpillar
AT kavitasinha postirradiationspindlecellcarcinomaoftonsillarpillar
AT vibhadutta postirradiationspindlecellcarcinomaoftonsillarpillar