Primary leiomyosarcoma presenting as a rapidly enlarging gingival mass of the mandible.
- Author:
Bong Hae CHO
1
;
Kyung Soo NAH
;
Yun Hoa JUNG
Author Information
1. Department of Oral and Maxillofacial Radiology, College of Dentistry, Pusan National University, Korea. yhjung@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Leiomyosarcoma;
Mandible;
Oral Cavity;
Immunohistochemistry
- MeSH:
Biopsy;
Child;
Diagnosis;
Facial Asymmetry;
Humans;
Immunohistochemistry;
Leiomyosarcoma*;
Male;
Mandible*;
Microscopy;
Mouth;
Neck Dissection
- From:Korean Journal of Oral and Maxillofacial Radiology
2006;36(4):227-231
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Leiomyosarcoma of the oral cavity is a very rare tumor that is associated with aggressive clinical behavior and low survival. In this paper, we report a case of leiomyosarcoma presenting with a gingival exophytic mass that rapidly grew, causing facial asymmetry within 16 days, in a 9-year-old boy. After an excisional biopsy, microscopy revealed a spindle cell neoplasm that, on immunohistochemistry analysis, demonstrated reactivity for SMA. This established the diagnosis of leiomyosarcoma; subsequently, a marginal mandibulectomy and supraomohyoid neck dissection were performed.
