“…1,2 In fact, among all types of soft tissue sarcoma, there is just one other documented case of distant metastasis to the head and neck region; a case of metastasis to the tongue that was previously reported in a 41-yearold male with high grade myxofibrosarcoma of the thigh. 3 Malignant peripheral nerve sheath tumors are the sixth most common type of soft tissue sarcoma. 4 Between 30% to 60% of MPNST patients develop metastases, with risk factors including increased primary tumor size (> 10 cm) and tumors American Joint Committee on Cancer stage III or greater.…”