title: Spindle cell carcinoma arising at the buccal mucosa: a case report and review of the literature.
abstract: OBJECTIVE
  Spindle cell carcinoma (SPCC) is a subtype of squamous cell carcinoma, and it mainly occurs in the upper aerodigestive duct. On the other hand, it rarely arises in the head and neck region. The prognosis of this tumor is usually poor because of its highly malignant behavior, such as its high incidence of recurrence or metastasis to cervical lymph nodes. However, the number of accumulated cases is still too low to provide the full details of SPCC.
  
  
  METHODS
  The case of SPCC was counted by using database, PubMed. The authors also present a case of SPCC arising at the left buccal mucosa in a 72-year-old Japanese female in the current study.
  
  
  RESULTS
  Only six cases of SPCC arising at the buccal mucosa have been reported previously. The authors' patient died from a recurrent tumor 15 months after the first operation.
  
  
  CONCLUSIONS
  The authors have added this case to the previous knowledge of SPCC arising at the buccal mucosa, and discuss the clinical behavior of SPCC to help suggest a standard treatment strategy for the disease.
authors.forename: Seigo
authors.initials: S
authors.lastname: Ohba
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yoshimura
authors.forename: Shinpei
authors.initials: S
authors.lastname: Matsuda
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Imamura
authors.forename: Kazuo
authors.initials: K
authors.lastname: Sano
mesh_terms: D002277:Carcinoma / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D003131:Combined Modality Therapy; D003952:Diagnostic Imaging; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009061:Mouth Mucosa / Q000473:pathology*; D009062:Mouth Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy
keywords: Buccal mucosa; Spindle cell carcinoma,; Treatment strategy,