A Rare Case of Clear Cell Sarcoma of the Tongue: A Case Report.

Clear cell sarcoma (CCS), previously known as soft tissue melanoma due to similarities with melanoma, is a rare and aggressive neoplasm. This tumor predominantly occurs in the lower limbs and rarely affects the tongue, as well as other head and neck locations. To our knowledge, only five cases have been reported in the English literature. CCS presents many similar morphological and immunohistochemical features to those of melanomas, sarcomatoid cell carcinoma, angiomatoid histiocytoma, and Ewing sarcoma, which makes the diagnosis difficult, especially in cases of uncommon locations. The treatment is based on oncological surgery and adjuvant radiation therapy as these tumors show low sensitivity to chemotherapy. This study aimed to report a case of an 88-year-old male patient who presented a large, rapidly growing nodular lesion on the right border of the mobile tongue diagnosed with CCS of the tongue.

A Giant Nodule of the Soft Palate Mimicking a Tumor: A Case of Oropharyngeal Tuberculosis.

Tuberculosis is an infectious disease caused by a bacterium called Mycobacterium tuberculosis. According to the World Health Organization, tuberculosis is the leading cause of death by an infectious disease worldwide. We describe here a rare case of tuberculosis that presented as a giant nodule of the soft palate mimicking a tumor. A 50-year-old man was admitted to the oral and facial surgery department for odynophagia and nocturnal snoring. The clinical examination of the oral cavity revealed a mass on the right side of the soft palate, pushing back the uvula on the left, measuring 3 cm in length, nodular in appearance, hard to palpate, and painless with no inflammatory sign of the mucosa opposite. A contrast-injected cervicofacial scan and magnetic resonance imaging were requested that showed a heterogeneous mass on the right side of the soft palate. The therapeutic decision was to perform a biopsy under general anaesthesia, with a histopathological study of the mass. Intraoperatively, the mass was detachable and completely removable. The definite histopathological examination of the surgical specimen was in favour of tuberculosis of the soft palate.