Leiomyosarcoma of the maxilla in a 24-year-old man who initially presented with odontalgia, and suffered from tumour mismanagement

Leiomyosarcoma is an uncommon malignant soft tissue tumour originating from smooth muscle cells. It generally occurs in the female genital tract, especially in the uterus, gastrointestinal tract, retroperitoneum and rarely in the head and neck. Here we report a case of leiomyosarcoma in a 24-year-ol...

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Bibliographic Details
Published in:BMJ case reports 2013-12, Vol.2013, p.bcr2013200933
Main Authors: Taghipour Zahir, Shokouh, Sharahjin, Naser Sefidrokh
Format: Article
Language:English
Subjects:
Biopsy
Chemotherapy
Combined Modality Therapy
Diagnosis, Differential
Diagnostic Imaging
Fistula - diagnosis
Fistula - pathology
Fistula - therapy
Fungal infections
Humans
Leiomyosarcoma - diagnosis
Leiomyosarcoma - pathology
Leiomyosarcoma - therapy
Male
Maxillary Neoplasms - diagnosis
Maxillary Neoplasms - pathology
Maxillary Neoplasms - therapy
Medical imaging
Metastasis
Middle East
Mismanagement
Nose
Nose Neoplasms - diagnosis
Nose Neoplasms - pathology
Nose Neoplasms - therapy
Orbital Neoplasms - diagnosis
Orbital Neoplasms - pathology
Orbital Neoplasms - therapy
Otolaryngology
Pain
Palatal Neoplasms - diagnosis
Palatal Neoplasms - pathology
Palatal Neoplasms - therapy
Radiation therapy
Rare Disease
Sinuses
Smooth muscle
Young Adult
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Summary:Leiomyosarcoma is an uncommon malignant soft tissue tumour originating from smooth muscle cells. It generally occurs in the female genital tract, especially in the uterus, gastrointestinal tract, retroperitoneum and rarely in the head and neck. Here we report a case of leiomyosarcoma in a 24-year-old man with a 6-month history of toothache and extraction of three right upper molar teeth, that was complicated by fistula tract formation and facial swelling. Imaging studies demonstrated tumoural lesions involving the right maxillary sinus, nasal cavity, hard palate and orbit. The histopathological and immunohistochemical studies confirmed that it was leiomyosarcoma.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2013-200933