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Ramai D, Tan QT, Nigar S, Ofori E, Etienne D, Reddy M. Ulcerated gastric leiomyoma causing massive upper gastrointestinal bleeding: A case report. Mol Clin Oncol 2018; 8:671-674. [PMID: 29725533 DOI: 10.3892/mco.2018.1597] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 03/07/2018] [Indexed: 11/05/2022] Open
Abstract
Leiomyomas are rare, benign submucosal tumors originating from smooth muscle cells. The clinical presentation is usually asymptomatic, with excellent prognosis. We herein report the case of a 68-year-old female with a solitary leiomyoma found during esophagogastroduodenoscopy for hematemesis. Histopathological examination revealed smooth muscle proliferation supported by positive staining for smooth muscle myosin heavy chain and negative staining for CD117 and S-100, consistent with the marker expression pattern of leiomyoma. We report on the clinical presentation of this case, and discuss the origin, epidemiology, treatment and management of leiomyomas.
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Affiliation(s)
- Daryl Ramai
- Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Academic Affiliate of The Icahn School of Medicine at Mount Sinai, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, New York, NY 11201, USA.,Department of Anatomical Sciences, St. George's University School of Medicine, True Blue, Grenada, West Indies
| | - Qiuxue T Tan
- Department of Anatomical Sciences, St. George's University School of Medicine, True Blue, Grenada, West Indies
| | - Sofia Nigar
- Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Academic Affiliate of The Icahn School of Medicine at Mount Sinai, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, New York, NY 11201, USA
| | - Emmanuel Ofori
- Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Academic Affiliate of The Icahn School of Medicine at Mount Sinai, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, New York, NY 11201, USA
| | - Denzil Etienne
- Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Academic Affiliate of The Icahn School of Medicine at Mount Sinai, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, New York, NY 11201, USA
| | - Madhavi Reddy
- Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Academic Affiliate of The Icahn School of Medicine at Mount Sinai, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, New York, NY 11201, USA
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Primary gastric tumors in infants and children: 15 cases of 20-year report. J Cancer Res Clin Oncol 2016; 142:1061-7. [DOI: 10.1007/s00432-015-2103-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Accepted: 12/18/2015] [Indexed: 01/08/2023]
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Montague LJ, Fitzpatrick SG, Islam NM, Cohen DM, Bhattacharyya I. Extensively ossifying oral leiomyoma: a rare histologic finding. Head Neck Pathol 2013; 8:311-6. [PMID: 24142598 PMCID: PMC4126913 DOI: 10.1007/s12105-013-0497-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2013] [Accepted: 10/11/2013] [Indexed: 10/26/2022]
Abstract
Oral leiomyoma are rare neoplasms of the oral cavity. Ossification within leiomyoma is not unusual but is mostly reported in leiomyoma of the deep soft tissue. Ossifying leiomyoma is extremely rare in the head and neck. We identified a total of three cases of extensively ossified leiomyoma in the head and neck in the literature including lesions in the lateral pterygoid muscle and orbit. To the best of our knowledge, only one case of extensively calcified leiomyoma has been reported in the oral cavity. We present two such rare cases of oral leiomyoma with extensive intratumoral calcifications and ossification. Ossified leiomyoma should be considered in the differential diagnosis of calcified or hard/firm soft tissue masses in the oral cavity.
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Affiliation(s)
- Lindsay J. Montague
- grid.15276.370000000419368091Department of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, University of Florida, PO Box 100414, Gainesville, FL 32610 USA
| | - Sarah G. Fitzpatrick
- grid.15276.370000000419368091Department of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, University of Florida, PO Box 100414, Gainesville, FL 32610 USA
| | - Nadim M. Islam
- grid.15276.370000000419368091Department of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, University of Florida, PO Box 100414, Gainesville, FL 32610 USA
| | - Donald M. Cohen
- grid.15276.370000000419368091Department of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, University of Florida, PO Box 100414, Gainesville, FL 32610 USA
| | - Indraneel Bhattacharyya
- grid.15276.370000000419368091Department of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, University of Florida, PO Box 100414, Gainesville, FL 32610 USA
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Xu Y, Lacouture M, Petronic-Rosic V, Soltani K, Shea CR. Ossified soft tissue leiomyoma in a patient with sickle cell anemia. J Cutan Pathol 2005; 32:696-9. [PMID: 16293183 DOI: 10.1111/j.0303-6987.2005.00435.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Osseous metaplasia in leiomyomas is extremely rare. Here, we report the case of an ossified subcutaneous leiomyoma in a 34-year-old African American man with sickle cell thalassemia who presented with a painful nodule of the scapular region, which appeared as a heavily mineralized soft tissue mass on chest radiographs. Histopathologic and immunohistochemical examination of the resected nodule revealed a benign soft tissue leiomyoma composed of intersecting fascicles of spindle cells that strongly expressed smooth muscle actin and caldesmon. Extensive intratumoral calcification and ossification were noticed. Only eight cases of ossified leiomyoma have been reported, of which two arose in the deep soft tissue.
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Affiliation(s)
- Yaohui Xu
- Section of Dermatology, Department of Medicine, University of Chicago Hospitals, IL 60637, USA
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