Myofibroblastic sarcoma of the oral cavity: a diagnostic dilemma and report of two cases

Introduction: Myofibroblastic sarcoma is designated as a low-grade malignancy, commonly affecting the deep soft tissue of head and neck. Despite being classified low-grade, myofibroblastic with high-grade features have been reported. Observations: Two such cases oral cavity, which were diagnosed different entities upon biopsy, observed. Case 1 presented multiple, well-circumscribed swellings tongue alveolar mucosa was synovial sarcoma. 2 manifested large extensive osseous lesion maxilla an inflammatory tumour. Conclusion: remains diagnostic dilemma due to its overlapping other spectra fibroblastic/myofibroblastic tumours lack consensus regarding classification separate entity. Establishing definitive diagnosis requires adequate tumour sampling systematic clinicopathological approach.