Objective: To report a rare case of spindle cell sarcoma of submandibular salivary gland, with intraoral extension with pathological dilemma.Case report: A 40-year-old male presented with swelling and pain in right submandibular area since 1 year. Right submandibular gland excision with intraoral mass excision was done with reconstruction of floor of mouth. Postoperative histopathology was suggestive of low-grade malignant tumor with differential diagnosis of acinic cell tumor, vascular tumor and myoepithelial tumor. The immunohistochemistry report revealed spindle cell sarcoma with high degree of vascularity. Based on this report postoperative radiotherapy was planned.Conclusion: According to literature, spindle cell sarcoma of submandibular salivary gland has not been reported yet. This case is presented for its uniqueness of its site, extension and histopathological dilemma.
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