case_images: PMC3618913_01
case_images: Microphotograph shows intersecting marginated groups of spindle tumor cell with elongated and blunt-ended nuclei. There is nuclear hyperchromasia and pleomorphism. ((a) H&E 100x, (b) 200x). The cells are immunopositive for smooth muscle actin ((c) IHC (SMA) 200x) and focally positive for S100 ((d) IHC (S100) 200x).
case_images: CRIM.OTOLARYNGOLOGY2013-284275.001.jpg
case_images: PMC3618913_01_CRIM.OTOLARYNGOLOGY2013-284275.001.jpg
case_images: fig1
case_images: On further subjecting to immunohistochemistry (IHC), tumor cells showed immunoreactivity for smooth muscle antigen (SMA) and S-100 (Figures 1(a)-1(d)).
case_images: Clinical photograph of the patient showing postradiotherapy changes.
case_images: CRIM.OTOLARYNGOLOGY2013-284275.002.jpg
case_images: PMC3618913_01_CRIM.OTOLARYNGOLOGY2013-284275.002.jpg
case_images: fig2
case_images: Patient was on regular followup and disease-free for the last 8 years (Figure 2).