The differential diagnosis of poorly differentiated SNSCC is challenging and includes: SNUC (including those characterized by molecular identifiers, such as IDH2-mutant SNUC, SMARCA4-deficient carcinoma, and SMARCB1/INI1-deficient carcinoma), NECs, and adenoid cystic carcinoma [1,33,34,35,36]. This evidence concerns the gene SMARCB1 and carcinoma.