Leiomyosarcoma of the Face.
10.7181/acfs.2014.15.1.36
- Author:
Young Il KO
1
;
Jin Soo LIM
;
Ki Taik HAN
;
Min Cheol KIM
Author Information
1. Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, The Catholic University of Korea College of Medicine, Suwon, Korea. wisethoth@hotmail.com
- Publication Type:Case Report
- Keywords:
Leiomyosarcoma;
Cutaneous
- MeSH:
Aged;
Biopsy;
Female;
Follow-Up Studies;
Head;
Humans;
Immunohistochemistry;
Leiomyosarcoma*;
Neck;
Recurrence;
Skin;
Soft Tissue Neoplasms
- From:Archives of Craniofacial Surgery
2014;15(1):36-39
- CountryRepublic of Korea
- Language:English
-
Abstract:
Leiomyosarcoma is a rare form of soft tissue neoplasm, with only 1% to 5% occurring in the head and neck region. Current recommended treatment suggests surgical excision with a wide lateral margin, but no definite guidelines regarding excisional margin have been established yet. Recently, complete excision with a narrow surgical margin has been recommended, and the authors present a case of cutaneous leiomyosarcoma on the face that was successfully managed by complete removal with a narrow excisional margin. A 74-year-old woman presented with a 3 cm sized, rapidly growing cutaneous mass on her right preauricular area. Preoperative biopsy of the skin lesion suggested a cutaneous leiomyosarcoma. The authors performed complete surgical excision with a 1 cm lateral margin, and the resulting skin defect was repaired with bilateral V-Y advancement local flaps. Histopathology and immunohistochemistry evaluation confirmed a moderately differentiated cutaneous leiomyosarcoma, with negative margin involvement. The patient refused of any additional treatment, but showed no locoregional recurrence during the 1.5 years of postoperative follow-up period. With a regular postoperative follow-up, cutaneous leiomyosarcomas may be successfully treated with a narrow surgical margin.
