SMARCA4-deficient undifferentiated tumor in the oral cavity: a rare case report and review of the literature.
Kittiphoj Tikkhanarak, Steven Dorris, Jay Saepoo et al.
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Case in brief
A 66-year-old man presented with a rapidly enlarging mass in the left posterior maxillary mucosa, accompanied by bone destruction. Histopathological analysis revealed undifferentiated tumor cells with ovoid to epithelioid morphology, and immunohistochemistry showed complete loss of nuclear SMARCA4 expression, confirming a diagnosis of SMARCA4-deficient undifferentiated tumor. The patient died shortly after biopsy, limiting further evaluation.
Diagnostic / clinical pearl
Clinicians should be aware of SMARCA4-deficient undifferentiated tumors in the oral cavity to prevent misclassification and ensure timely management, including evaluation for potential metastatic disease.