Radiation induced sarcoma of head and neck: A rare entity

Abstract

Sarcoma are rare in head and neck region and radiation induced sarcoma (RIS) are even rare and poses challenges for diagnosis and proper management. We report a case of 38 year old male who was treated for carcinoma of right lateral border of tongue with surgery and radiotherapy, and presented with rapidly progressing mass in right floor of mouth after 4 years. Biopsy and imaging confirmed the diagnosis of radiation induced sarcoma and was managed with wide local excision of mass with hemimandibulectomy with reconstruction by pectoralis major mayocutaneous flap. Patient completed the follow up of one and half year and doing well. RIS of head and neck is rare entity and demands multidisciplinary involvement of head and neck, neuro, reconstructive surgeons, radiation oncologists and medical oncologists for optimal management. Though it has poor prognosis but properly managed patients will have the good quality of life.