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This case report describes an unusual tumour of the oral and head neck region—the solitary fibrous tumour. Case report A patient is reported with a relatively fast growing lump in the right cheek. It was initially diagnosed as a dermofibrosarcoma and a secondary operation was performed with extended excision. The final diagnosis was later changed to solitary fibrous tumour by the pathologist. The histopathological features of the solitary fibrous tumour and resemblance with other spindle cell tumours are discussed. Conclusion Despite difficulties in diagnosis, the clinician and pathologists must be aware of this tumour especially in order to avoid misdiagnosis with other more aggressive neoplasms of oral soft tissue which can lead to incorrect treatment planning and higher morbidity.

annals of oral and maxillofacial surgery

Solitary fibrous tumour of the buccal mucosa: Morphological and histopathological differences and similarities in relation to other spindle cell neoplasms