Mesenchymal Spindle Cell Tumer: A Case Report

Abstract

Mesenchymal spindle cell tumor is very rare and has been reported to account for Less than 1% of all tumor’s hospital admissions. Spindle cell tumors are classified according to their origin into congenital, neurogenesis, osseous, or miscellaneous tumors. We are presenting a case of mesenchymal spindle cell tumor to raise awareness of this seldom found tumor. A 40-year-old male was admitted to the local hospital. Presented with recurrent huge left elbow swelling associated with reduced mobility in the affected area, fatigability, malaise, and increase progressively. By examination, it was fixed to the muscle, not tender, and stretched the skin. The complete investigation was within normal. CT scan showing recurrent left elbow sarcoma and no pulmonary, hepatic, or osseous deposits. Wide Local excision was done, and an elliptical incision with complete excision of the mass was done with distal scarification of the radial nerve because it was involved inside the tumor. The mass was sent to histopathology and showed microscopically spindle cells neoplasm composition of fusiform spindle cells with atypia having in district borders arranged haphazardly in short, ill-defined fascicles with infrequent mitosis. The patient received adjuvant chemotherapy and radiotherapy. The patient was followed every 6 months. Without appropriate treatment, soft tissue sarcoma may lead to consequences like metastasis or recurrence that cause significant problems to the patient