Evidence map›Paper›PMID 41583228›Full record

ArticleCureus2025

A Rare Continuum From Oral Submucous Fibrosis to Spindle Cell Squamous Carcinoma: A Case Report.

Christeffi Mabel, Chamundeeswari P, Nivetha D, Ashwinthan M, Pooja P A

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Christeffi MabelOral Medicine and Radiology, Chettinad Dental College and Research Institute, Chennai, IND.
Chamundeeswari POral Medicine and Radiology, Chettinad Dental College and Research Institute, Chennai, IND.
Nivetha DOral Medicine and Radiology, Chettinad Dental College and Research Institute, Chennai, IND.
Ashwinthan MOral Medicine and Radiology, Chettinad Dental College and Research Institute, Chennai, IND.
Pooja P AOral Medicine and Radiology, Chettinad Dental College and Research Institute, Chennai, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spindle cell squamous carcinoma (SpCC) is a rare, aggressive sarcomatoid variant of squamous cell carcinoma (SCC) characterized by biphasic epithelial-mesenchymal morphology. Oral submucous fibrosis (OSMF), a potentially malignant disorder prevalent in South-Asia typically transforms into conventional SCC, while direct transformation into SpCC is exceedingly uncommon. We report the case of a 49-year-old male previously treated for OSMF who, four years later, developed a fissural defect in the right buccal vestibule without an exophytic mass. He returned one week later with numbness of the right lower lip and chin. An incisional biopsy demonstrated well-differentiated SCC, while definitive resection revealed predominant spindle-cell morphology consistent with SpCC (pT4aN2a). The histologic continuity between epithelial and spindle components suggests early epithelial dedifferentiation within the OSMF microenvironment, likely mediated by TGF-β-driven epithelial-mesenchymal transition. This case underscores the malignant potential of OSMF and highlights the importance of recognizing such atypical malignant transformations, which are vital for timely diagnosis and intervention.

Indexed as

aggressive formlower gingivobuccal sulcusoral sub-mucous fibrosisrare case reportspindle cell squamous carcinoma

Identifiers

PMID41583228
PMCPMC12829298

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.