Traumatic eosinophilic glossitis presenting with primary as sarcomatoid carcinoma

Introduction: Traumatic Eosinophilic glossitis also called as Riga-Fede Disease is a condition characterized by an ulcer with an indurated and elevated border. It is often associated with trauma.
Presentation: A 60 years old female residing at Dhaisar, came to Krishna hospital, Karad with chief complains of ulceroproliferative growth on left side of tongue since 2 months. Growth was insidious in onset, progressive in nature and not associated with pain. Patient was operated in Krishna hospital, Karad on 13/08/2018. Surgery – Wide local excision with Left sided neck dissection done.
Discussion: Sarcomatoid (Spindle cell) carcinoma is an unusual variant of squamous cell carcinoma. It also called pseudosarcoma, collision tumor and pseudosarcomatous carcinoma. It is a biphasic tumour composed of both elements sarcomatous and carcinomatous. The mean age at presentation was 58 years with a range of 14-87 years. Male more commonly involved than female.
Conclusion: The spindle cell component may resemble many lesions, ranging from benign reactive ones like radiation-induced granulation tissue to malignant lesions like fibrosarcoma. Therefore, to establish a correct diagnosis, any clue of epithelial component should be carefully sought in suspected lesions.