Ossifying Fibromyxoid Tumor in Oral Cavity: The Second Tongue

enlargement (Figs 2 and3).Chest X-ray and CT chest showed no abnormality.Core needle biopsy performed twice from the lesion was inconclusive.The case was discussed in a multidisciplinary tumor board, and in view of clinical and radiological features suspicious of malignancy, surgical intervention was planned.Intraoperatively, the tumor was of rubbery consistency, resembling sarcoma, with skin and bone (right lower alveolus) involvement and intact FOM mucosa.The tongue was not involved.Based on the extent of the tumor, right composite resection with dual flap (pectoralis major myocutaneous flap and deltopectoral flap) reconstruction was done (Fig. 4).Postoperative recovery was uneventful.Postoperative histopathology revealed OFMT with free resected margins.No cervical lymph node involvement was noted (IHC study: S100, desmin focal positive).