Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A CASE REPORT OF MAXILLARY LEIOMYOSARCOMA WITH REGIONAL LYMPH NODE METASTASIS

국소 림프절 전이를 보이는 상악 평활근 육종에 대한 증례보고

  • Park, Soong (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyunghee University) ;
  • Lee, Baek-Soo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyunghee University) ;
  • Kim, Yeo-Gap (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyunghee University) ;
  • Kwon, Yong-Dae (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyunghee University) ;
  • Choi, Byung-Joon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyunghee University) ;
  • Kim, Young-Ran (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyunghee University)
  • 박숭 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 이백수 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 김여갑 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 권용대 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 최병준 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 김영란 (경희대학교 치과대학 구강악안면외과학교실)
  • Received : 2009.10.12
  • Accepted : 2010.03.02
  • Published : 2010.03.31
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Abstract

Leiomyosarcoma is a malignant neoplasm of smooth muscle origin and mostly originate from the wall of uterus and gastrointestinal tract, but primary leiomyosarcoma of the oral cavity is extremely rare. This tumor has a very poor prognosis due to high recurrence and metastasis rate, with 5 year survival rate of 32%. And regional lymph node metastasis is uncommon event. Complete wide surgical excision is the treatment of choice. A 64-year old man who had a painful ulcerative lesion on the labial & palatal gingiva of #11, 21 visited our department, and was diagnosed as leiomyosarcoma through a biopsy. Partial maxillectomy was carried out, with no following radiotherapy or chemotherapy. After months follow-up, there has been no evidence of recurrence or metastasis. But after months, we clinically find out two enlarged immobile palpable lymph node in right submandibular area of patient. So a biopsy was performed via an extraoral incision under local anesthesia. Histopathologic diagnosis diagnosis of the biopsy was lymph node metastasis of prior existed leiomyosarcoma. We report a case of a primary leiomyosarcoma occurred in a 64 year-old male patient involving the anterior maxillary region with regional lymph node metastasis with a review of literature.

Keywords

References

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