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Hou TY, Tzeng WJ, Lee PH. Small intestine angioleiomyoma as a rare cause of perforation: A case report. World J Clin Cases 2024; 12:2116-2121. [PMID: 38680253 PMCID: PMC11045516 DOI: 10.12998/wjcc.v12.i12.2116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Revised: 02/13/2024] [Accepted: 03/25/2024] [Indexed: 04/16/2024] Open
Abstract
BACKGROUND Angioleiomyoma is a rare and benign stromal tumor typically found in subcutaneous tissue. It rarely occurs in the gastrointestinal tract. Among the reported cases, the most common complication was gastrointestinal bleeding. Perforation has only been reported as a complication in the last few decades. CASE SUMMARY This case report detailed the discovery of intestinal angioleiomyoma in a 47-year-old male presenting with abdominal pain that had persisted for 3 d. After suspecting hollow organ perforation, surgical intervention involving intestinal resection and anastomosis was performed. CONCLUSION The report underscores the significance of early surgical intervention in effectively treating angioleiomyoma while emphasizing the pivotal role of timely and appropriate measures for favorable outcomes.
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Affiliation(s)
- Teng-Yuan Hou
- Department of General Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan
| | - Wei-Juo Tzeng
- Department of General Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan
| | - Pei-Hang Lee
- Department of Anatomical Pathology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan
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2
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Rakitovan M, Nicoara A, Closca RM, Balica NC, Stefanescu EH, Baderca F. Leiomyoma with Uncommon Localization-Incisive Papilla and Palatal Fibromucosa: A Case Report. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:1346. [PMID: 37512157 PMCID: PMC10385984 DOI: 10.3390/medicina59071346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Revised: 07/06/2023] [Accepted: 07/21/2023] [Indexed: 07/30/2023]
Abstract
The current paper presents a case of a 33-year-old female with an uncommon localization of a leiomyoma in the oral cavity-the anterior palatal fibromucosa and the incisive papilla. The patient referred to the Oro-Maxillo-Facial Surgery Clinic of Emergency City Hospital Timisoara, Romania, complaining of a slight discomfort in the act of mastication and the occurrence and persistence of a diastema between the upper central incisors, due to the presence of a nodule located in the anterior palatal mucosa, between the upper central incisors, without any changes of the subjacent bone structure in the anterior hard palate visible on a cone beam computed tomography image (CBCT). The lesion was removed using a surgical excisional biopsy and a histopathological examination was performed using morphological Hematoxylin-Eosin (HE) staining and additional immunohistochemical (IHC) reactions, in order to confirm the diagnosis. On microscopic examination, bundles of spindle cells were found with eosinophilic cytoplasm and vesicular nuclei, with finely granular chromatin. The immunohistochemical reactions were positive for smooth muscle actin (SMA) and desmin and negative for vimentin. The treatment of choice for leiomyoma of the oral cavity is surgical excision with clear margins, followed by periodical clinical monitoring.
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Affiliation(s)
- Marina Rakitovan
- Department of Microscopic Morphology, University of Medicine and Pharmacy "Victor Babes", 300041 Timisoara, Romania
- Oro-Maxillo-Facial Surgery Clinic of the Emergency City Hospital, 300062 Timisoara, Romania
| | - Adrian Nicoara
- Oro-Maxillo-Facial Surgery Clinic of the Emergency City Hospital, 300062 Timisoara, Romania
- Discipline of Dentoalveolar Surgery, University of Medicine and Pharmacy "Victor Babes", 300041 Timisoara, Romania
| | - Raluca Maria Closca
- Department of Microscopic Morphology, University of Medicine and Pharmacy "Victor Babes", 300041 Timisoara, Romania
| | - Nicolae Constantin Balica
- Department of Otorhinolaryngology, University of Medicine and Pharmacy "Victor Babes", 300041 Timisoara, Romania
- Otorhinolaryngology Clinic, Emergency City Hospital, 300054 Timisoara, Romania
- OftalmoSensory-Tumor Research Center-ORL (EYE-ENT), University of Medicine and Pharmacy "Victor Babes", 300041 Timisoara, Romania
| | - Eugen Horatiu Stefanescu
- Department of Otorhinolaryngology, University of Medicine and Pharmacy "Victor Babes", 300041 Timisoara, Romania
- Otorhinolaryngology Clinic, Emergency City Hospital, 300054 Timisoara, Romania
| | - Flavia Baderca
- Department of Microscopic Morphology, University of Medicine and Pharmacy "Victor Babes", 300041 Timisoara, Romania
- Service of Pathology, Emergency City Hospital, 300254 Timisoara, Romania
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3
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Zope A, Banerjee S, Deshmukh G, Syed JA, Sharma M. Oral Leiomyoma in a Pediatric Patient: A Diagnostic Challenge. Cureus 2023; 15:e41107. [PMID: 37519627 PMCID: PMC10382252 DOI: 10.7759/cureus.41107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/28/2023] [Indexed: 08/01/2023] Open
Abstract
A nodular lesion of the tongue incorporates a spectrum of entities from reactive to malignancy. A diagnostic dilemma arises when a nodular, solitary, and firm submucosal mass appears in the oral cavity of a patient. To reach a definitive diagnosis, a crucial investigation protocol needs to be followed. Leiomyomas are benign tumors that rarely occur in the oral cavity. They usually affect patients within the fourth to fifth decades of life. We report a rare case of leiomyoma of the tongue in a 12-year-old child patient. Immunohistochemical analysis revealed the positivity of tumor cells for alpha-smooth muscle actin (SMA). Surgical excision of such lesions is the treatment of choice, with a low recurrence rate. Our patient was asymptomatic and tumor-free at the follow-up visit after two years.
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Affiliation(s)
- Amit Zope
- Orthodontics, JMF's (Jawahar Medical Foundation) ACPM (Annasaheb Chudaman Patil Memorial) Dental College, Dhule, IND
| | - Satyabrat Banerjee
- Endodontics, JMF's (Jawahar Medical Foundation) ACPM (Annasaheb Chudaman Patil Memorial) Dental College, Dhule, IND
| | | | - Junaid A Syed
- Orthodontics, Saraswati Dhanwantari Dental College, Parbhani, IND
| | - Manish Sharma
- Oral Pathology and Microbiology, JMF's (Jawahar Medical Foundation) ACPM (Annasaheb Chudaman Patil Memorial) Dental College, Dhule, IND
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4
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de Araújo GR, Costa SFDS, Mesquita RA, Gomez RS, Dos Santos JN, Pontes HAR, de Andrade BAB, Romañach MJ, Agostini M, Vargas PA, de Cáceres CVBL, Santos-Silva AR, Ribeiro ACP, Brandão TB, Tomasi RA, Ferreyra RS, de Almeida OP, Fonseca FP. Leiomyoma and Leiomyosarcoma (Primary and Metastatic) of the Oral and Maxillofacial Region: A Clinicopathological and Immunohistochemical Study of 27 Cases. Head Neck Pathol 2021; 16:294-303. [PMID: 34106410 PMCID: PMC9018928 DOI: 10.1007/s12105-021-01336-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Accepted: 05/18/2021] [Indexed: 11/27/2022]
Abstract
Smooth muscle neoplasms represent an important group of lesions which is rare in the oral cavity. Leiomyoma (LM) is benign smooth muscle/pericytic tumor usually presenting as non-aggressive neoplasm, while leiomyosarcoma (LMS) represents its malignant counterpart. The rarity of these lesions, together with its unspecific clinical presentation and a variable histopathological appearance, lead to a broad list of differential diagnoses, hampering their diagnoses. Therefore, in this study we describe the clinical and microscopic features of a series of oral and maxillofacial LMs and LMSs. A retrospective search from 2000 to 2019 was performed and all cases diagnosed as LM and LMS affecting the oral cavity and gnathic bones were retrieved. Clinical and demographic data were obtained from the patients' pathology records, while microscopic features and immunohistochemistry were reviewed and completed when necessary to confirm the diagnoses. Twenty-two LMs and five LMSs were obtained. In the LM group, males predominated, with a mean age of 45.7 years. The upper lip was the most affected site, and 18 cases were classified as angioleiomyomas and four as solid LM. In the LMS group, females predominated, with a mean age of 47.6 years. The mandible was the most affected site. Diffuse proliferation of spindle cells, with necrosis and mitotic figures, were frequent microscopic findings. LMs and LMSs were positive for α-smooth muscle actin, HHF-35 and h-caldesmon. In conclusion, oral LM/LMS are uncommon neoplasms with the latter usually presenting as metastatic disease. H&E evaluation may be very suggestive of oral LMs, but h-caldesmon staining is strongly recommended to confirm LMS diagnosis.
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Affiliation(s)
- Gabriela Ribeiro de Araújo
- Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Sara Ferreira Dos Santos Costa
- Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Ricardo Alves Mesquita
- Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Ricardo Santiago Gomez
- Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Jean Nunes Dos Santos
- Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Bahia, Salvador, Brazil
| | - Hélder Antônio Rebelo Pontes
- Service of Oral Pathology, João de Barros Barreto University Hospital, Federal University of Pará, Belém, Brazil
| | | | - Mário José Romañach
- Department of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Michelle Agostini
- Department of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Pablo Agustin Vargas
- Oral Diagnosis Department (Pathology and Semiology Areas), Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
- Department of Oral Biology and Oral Pathology, School of Dentistry, University of Pretoria, Pretoria, South Africa
| | | | - Alan Roger Santos-Silva
- Oral Diagnosis Department (Pathology and Semiology Areas), Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | | | - Thaís Bianca Brandão
- Dental Oncology Service, Instituto do Câncer do Estado de São Paulo, São Paulo, Brazil
| | | | - Ruth Salomé Ferreyra
- Deparment of Pathology, Dental School, National University of Córdoba, Córdoba, Argentina
| | - Oslei Paes de Almeida
- Oral Diagnosis Department (Pathology and Semiology Areas), Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | - Felipe Paiva Fonseca
- Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil.
- Department of Oral Biology and Oral Pathology, School of Dentistry, University of Pretoria, Pretoria, South Africa.
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5
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Clinical, Imaging and Histopathology of Angioleiomyoma of the Buccal Cheek. Case Rep Dent 2021; 2021:9940304. [PMID: 34012685 PMCID: PMC8105109 DOI: 10.1155/2021/9940304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Accepted: 04/22/2021] [Indexed: 11/18/2022] Open
Abstract
Angioleiomyoma is a benign neoplasia originating from vascular smooth muscle and very uncommon in the oral cavity. In this report, we present a rare case of angioleiomyoma in oral cavity in a 46-year-old female buccal cheek and discuss the clinical, histological, and immunohistochemical characteristics. As the treatment of choice is the complete excision, the lesion was excised under local anesthesia with no further complications. In addition, a brief update on other reported cases of angiomyoma in the oral cavity is further discussed.
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6
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Peruka SK, Uppada UK, Dawalgari GR. Pediatric leiomyoma of the oral cavity: A rare entity. J Oral Maxillofac Pathol 2021; 25:S109-S112. [PMID: 34083983 PMCID: PMC8123251 DOI: 10.4103/jomfp.jomfp_412_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Revised: 01/08/2021] [Accepted: 01/19/2021] [Indexed: 11/04/2022] Open
Abstract
Leiomyoma is a benign smooth muscle tumor that frequently occurs in the uterine myometrium of the uterus and gastrointestinal tract rarely but seldom encountered in the oral cavity, particularly in children. Its occurrence in the oral cavity is considered rare probably because of the scarcity of smooth muscle tissue in the oral cavity. The frequently affected anatomical areas intraorally are lips, palate and tongue. The purpose of this case report is to put forth a rare case of oral leiomyoma in a 10-year-old girl child involving the retromolar region.
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Affiliation(s)
- Srujan Kumar Peruka
- Department of Periodontics, SB Patil Institute of Dental Sciences and Research, Bidar, Karnataka, India
| | - Uday Kiran Uppada
- Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, Telangana, India
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7
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Bezerra TMM, Chaves FN, Carvalho FSR, Costa FWG, Alves APNN, Mota MRL, Pereira KMA. Oral Angioleiomyoma in Early Childhood Patient: A Case Report of an Uncommon Lesion and Literature Review. Int J Clin Pediatr Dent 2021; 14:828-832. [PMID: 35110880 PMCID: PMC8783224 DOI: 10.5005/jp-journals-10005-2082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Leiomyoma is a benign soft tissue tumor originating from smooth muscle, rarely seen in the oral cavity, due to the scarcity of this tissue in the mouth. The tumor may occur at any age, without sex predilection. Rare reports of this lesion have been in pediatric patients. The lesion is typically asymptomatic and has slow growth, the final diagnosis is defined by histopathological and immunohistochemical examination. Treatment involves resection of the lesion. The lesion is classified histologically as solid leiomyomas, angioleiomyomas (AL), or epithelioid leiomyomas. We report the case of a 1-year-old female child with a painless papule on the hard palate. Histopathological examination revealed biphasic LA showing proliferation of spindle-shaped nuclear cells in straw-shaped bundles or a concentric design. This is the fourth documented case of AL in early childhood.
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Affiliation(s)
- Thâmara MM Bezerra
- Dental Clinic Department, Postgraduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | - Filipe N Chaves
- School of Dentistry, Postgraduate Program in Health Sciences, Federal University of Ceará, Sobral, Ceará, Brazil
- Filipe N Chaves. Rua Conselheiro José Júlio, S/N, Centro, Sobral, Ceará – CEP: 62.010-820. Phone/Fax: (55) (88) 3695-4622, e-mail:
| | - Francisco SR Carvalho
- School of Dentistry, Postgraduate Program in Health Sciences, Federal University of Ceará, Sobral, Ceará, Brazil
| | - Fábio WG Costa
- Division of Oral and Maxillofacial Surgery, Postgraduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | - Ana PNN Alves
- Division of Oral Pathology, Postgraduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | - Mário RL Mota
- Division of Oral Pathology, Postgraduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | - Karuza MA Pereira
- Department of Morphology, Postgraduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil
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8
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Hamid R, Chalkoo A, Tariq S, Bilal S, Wani S. Central angioleiomyoma of the mandible: A rare entity. J Cancer Res Ther 2020; 16:647-652. [PMID: 32719283 DOI: 10.4103/jcrt.jcrt_960_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
The leiomyoma is a benign smooth-muscle neoplasm commonly found in the female genital tract, gastrointestinal tract, or skin. Leiomyomas of the oral cavity are unusual. Oral leiomyomas are uncommon due to the paucity of the smooth muscle in the mouth (except in blood vessels) and thus the involvement of jaw bones is extremely rare. Leiomyomas have been classified as solid angiomyoma, angioleiomyoma (vascular leiomyoma), and epithelioid variants. Angioleiomyomas are benign mesenchymal tumors derived from smooth muscle, which rarely occur in the oral cavity. Malignant transformation probably does not occur but careful histopathologic examination is still necessary to differentiate these benign lesions from their malignant counterparts due to different prognosis. Although uncommon in the maxilla and mandible, they should be included in the differential diagnosis of radiolucent lesions of jaw bones. An extensive search of literature was carried out on the Medline-PubMed and Google Scholar database using the keywords such as leiomyoma, angioleiomyoma, jaw bones, maxilla, mandible, intra-osseous to thoroughly search and collect all the reported cases of intraosseous leiomyoma (but our search was not limited to these terms only). To the best of our knowledge, only 23 cases of intraosseous leiomyomas have been reported so far in the jaw bones, among which only 8 belonged to angioleiomyomas. Herein, we report the 9th case of intraosseous angioleiomyoma, one of the variants of leiomyoma and overall 24th intraosseous leiomyoma in a 6-year-old female child, together with conventional histopathologic and immunohistochemical findings.
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Affiliation(s)
- Rizwan Hamid
- Department of Oral Medicine and Radiology, Government Dental College and Hospital, Srinagar, Jammu and Kashmir, India
| | - Altaf Chalkoo
- Department of Oral Medicine and Radiology, Government Dental College and Hospital, Srinagar, Jammu and Kashmir, India
| | - Saima Tariq
- Department of Oral Medicine and Radiology, Government Dental College and Hospital, Srinagar, Jammu and Kashmir, India
| | - Sheikh Bilal
- Department of Pathology, GMC, Srinagar, Jammu and Kashmir, India
| | - Suhail Wani
- Department of Pathology, SKIMS, Srinagar, Jammu and Kashmir, India
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9
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Mehta PD, Desai N, Makwana K, Patel Y. Angioleiomyoma of the Lower Lip. Ann Maxillofac Surg 2020; 10:251-253. [PMID: 32855952 PMCID: PMC7433964 DOI: 10.4103/ams.ams_275_19] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2019] [Revised: 12/29/2019] [Accepted: 01/20/2020] [Indexed: 11/04/2022] Open
Abstract
Leiomyoma is a benign smooth muscle tumor that occurs most frequently in the uterine myometrium, gastrointestinal tract, skin, and lower extremities. Leiomyoma rarely affects the oral cavity. Angioleiomyoma (vascular leiomyoma) is a histological subtype of the leiomyoma. The diagnosis is commonly determined by histopathological studies. This case report shows a 57-year-old male patient with a lesion of the lower lip. After laser excision, hematoxylin and eosin and smooth muscle actin staining confirmed the diagnosis of angioleiomyoma.
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Affiliation(s)
- Payal Dilipkumar Mehta
- Department of Oral and Maxillofacial Surgery, Karnavati School of Dentistry, Gandhinagar, Gujarat, India
| | - Nimisha Desai
- Department of Oral and Maxillofacial Surgery, Karnavati School of Dentistry, Gandhinagar, Gujarat, India
| | - Kalpesh Makwana
- Department of Oral and Maxillofacial Surgery, Karnavati School of Dentistry, Gandhinagar, Gujarat, India
| | - Yama Patel
- Department of Oral and Maxillofacial Surgery, Karnavati School of Dentistry, Gandhinagar, Gujarat, India
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10
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Leiomyoma of the Cheek. Case Rep Pathol 2020; 2020:8474905. [PMID: 32148989 PMCID: PMC7053474 DOI: 10.1155/2020/8474905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Accepted: 12/03/2019] [Indexed: 11/17/2022] Open
Abstract
Leiomyomas are rare benign tumors that grow in the tunica media of smooth muscle cells. Leiomyomas occur most frequently in the uterus or gastrointestinal tract and only very rarely in the area of the cheek. This study reports on a rare case of a leiomyoma in the cheek of a 43-year-old woman, who presented with a well-circumscribed, asymptomatic, mobile swelling in the right cheek. This swelling was slightly purplish in color and measured approximately 4 cm × 3 cm. Surgical excision was the treatment of choice, and the diagnosis was based on histopathological and immunohistochemical stains, which were positive for actin and desmin and negative for AE1/AE3, CD34, and S100. The patient's follow-up, two years later, showed no recurrence, and she has been asymptomatic since the surgery.
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11
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Abstract
Diseases of the skin, hair, nails and mucosa can appear as flesh-colored lesions or may present as any of the colors of the visual spectrum. Diseases associated with blue (or shades of blue) discoloration represent a unique group of conditions that occur de novo or as a reaction to either a topical or a systemic agent to which the individual has been exposed. Blue diseases can affect the skin, the nails or the mucosal membranes of the mouth (buccal mucosa, gingiva, lips, palate or tongue) or eyes (sclera). In addition to appearing blue, they can also appear as blue-black, blue-brown, blue-gray, blue-green, blue-purple, blue-red, and blue-silver. The conditions range from those secondary to exogenous agents (systemic or tattoo or topical) to syndromes to systemic diseases to tumors (adnexal, melanocytic, vascular, or miscellaneous). A comprehensive attempt to include all conditions that have been described as blue (or a shade of blue) has been performed by evaluating the following terms using the medical search engine PubMed: blue and either gingiva, lips, lunula, mucosa, nails, oral, palate, sclera, skin, or tongue. Subsequently, the conditions were organized by color (blue and shades of blue) and within each color by location (skin, nails, oral mucosa and sclera). The results are presented in organized tables; in addition, there is discussion of some of the conditions that are unique to one or more specific locations. In conclusion, 'preserve and cherish the pale blue dot' and remember that a big red rock eater with chrysiasis is the answer to the riddle, "What is big and blue and eats rocks?"
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Affiliation(s)
- Philip R Cohen
- San Diego Family Dermatology, National City, California, USA; Adjunct Professor of Dermatology, Touro University California College of Osteopathic Medicine, Vallejo, California, USA.
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13
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Ribeiro JL, Costa FH, Cavalcante ASR, Kaminagakura E, Carvalho YR, Anbinder AL. Vascular leiomyoma in the oral cavity - Report of two cases. J Clin Exp Dent 2019; 11:e582-e586. [PMID: 31346382 PMCID: PMC6645253 DOI: 10.4317/jced.55684] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Accepted: 05/23/2019] [Indexed: 11/05/2022] Open
Abstract
Vascular leiomyomas (VL) are benign lesions of perivascular origin. We report two new cases and discuss their clinical, histological and immunohistochemical characteristics, in order to facilitate the diagnosis and treatment of such lesions. The patients, both male, presented asymptomatic nodules located in the bottom of the labial sulcus and buccal mucosa. In the second case, color doppler ultrasonography was performed, which showed no change in blood flow. After excisional biopsies, a limited lesion was observed histologically, with multiple tortuous vessels of varying sizes and calibers, and among them, spindle cells bundles, positive for smooth muscle actin. Oral VLs have clinical features similar to those of other more common lesions, making preoperative diagnosis difficult. Imaging examination, such as color doppler ultrasonography, may help in diagnosis. In general, excisional biopsy is performed, due to the ease of removal of the lesion during surgery. The treatment of choice is the complete excision of the lesion, which has an excellent prognosis and a low rate of recurrence. Key words:Vascular leiomyoma, spindle cells, thrombus, Doppler.
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Affiliation(s)
- Jaqueline-Lemes Ribeiro
- Department of Bioscience and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, São Paulo, Brazil
| | - Fernanda-Herrera Costa
- Department of Bioscience and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, São Paulo, Brazil
| | - Ana-Sueli-Rodrigues Cavalcante
- Department of Bioscience and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, São Paulo, Brazil
| | - Estela Kaminagakura
- Department of Bioscience and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, São Paulo, Brazil
| | - Yasmin-Rodarte Carvalho
- Department of Bioscience and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, São Paulo, Brazil
| | - Ana-Lia Anbinder
- Department of Bioscience and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, São Paulo, Brazil
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14
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Jiang B, Chen QN, Qi FZ, Xu JB, Yu YB, Song Y. Clinical analysis of hepatic angioleiomyoma: Two case reports. Medicine (Baltimore) 2019; 98:e14661. [PMID: 30882630 PMCID: PMC6426533 DOI: 10.1097/md.0000000000014661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE Angioleiomyoma is an uncommon benign tumor that originates from the vascular smooth muscle cells and contains thick-walled vessels. It can appear anywhere in the body but more frequently in the extremities (especially in the lower limbs) and rarely invades the internal organs. PATIENT CONCERNS A 52-year-old Chinese woman was referred to our hospital because of finding liver neoplasm 2 weeks ago (case first) and a 64-year-old Chinese woman was admitted to hospital with enlargement of the hepatic neoplasm revealed in follow-up, who was diagnosed with angioleiomyoma of left kidney 2 years ago (case second). DIAGNOSIS All patients were diagnosed with hepatic angioleiomyoma by pathological results. INTERVENTIONS All patients received surgical treatment, with laparoscopic hepatectomy of the IVb segment in case 1 and laparoscopic hepatic left lateral lobectomy in case 2. OUTCOMES The 2 patients have eventually recovered, and no recurrences or other complications have been observed so far. LESSONS Because of atypical clinical symptoms, no specificity in laboratory examination, and lack of characteristic imaging findings, angioleiomyoma is easily misdiagnosed for another disease of the liver. But with complete resection, the prognosis is generally good.
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Affiliation(s)
- Bin Jiang
- Department of Hepatobiliary and Pancreatic Surgery
| | - Qiu-Ni Chen
- Department of Hematology, The Affiliated Huai’an No. 1 People's Hospital of Nanjing Medical University, Huai’an, Jiangsu Province, PR China
| | - Fu-Zhen Qi
- Department of Hepatobiliary and Pancreatic Surgery
| | - Jian-Bo Xu
- Department of Hepatobiliary and Pancreatic Surgery
| | - Ya-Bin Yu
- Department of Hepatobiliary and Pancreatic Surgery
| | - Yan Song
- Department of Hepatobiliary and Pancreatic Surgery
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15
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Clinical and Immunohistochemical Features of Oral Angioleiomyoma: A Comprehensive Review of the Literature and Report of a Case in a Young Patient. Case Rep Dent 2019; 2019:2498353. [PMID: 30937194 PMCID: PMC6415311 DOI: 10.1155/2019/2498353] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2018] [Accepted: 02/13/2019] [Indexed: 01/18/2023] Open
Abstract
Angioleiomyoma (AL) is an uncommon benign soft tissue neoplasia arising from the tunica media of the smooth muscle cells. AL appears as a solitary and slow-growing mass and seldom is observed in oral tissues. We reported a rare case of AL involving the cheek of a 17-year-old young woman. A review of the English-language literature was performed entering the keywords “angioleiomyoma” and “oral” in the search fields of PubMed. 70 results were identified. Excluded were cases that were not in the oral cavity or not compatible with the AL diagnosis or report lacking immunohistochemical analysis. According to the exclusion criteria, we selected 30 studies that included 63 cases of AL. The results of the review showed an average age of 42.97 years with a prevalence between the fourth and fifth decade of life with a male-to-female ratio of 1.95 : 1. The most affected sites were palate, buccal mucosa of the cheek, lip, tongue, and gingiva. Surgical excision was the treatment of choice, and diagnosis was possible through histopathological and immunohistochemical analysis. SMA, vimentin, CD34, desmin, and S-100 were the most common markers to guide the histopathological diagnosis of oral AL. In conclusion, oral AL is a rare entity, especially in adolescence as in the reported case of AL of the cheek in a 17-year-old woman. The clinical aspects of AL did not allow clinicians to make a correct presumptive diagnosis. A scrupulous histopathological analysis and immunohistochemical examinations are fundamental to differentiate AL from other lesions.
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Lee KI, An HG, Hong SR, Kim JY, In SM. Vascular Leiomyoma of the Nasal Floor: The Risk of Misdiagnosis. JOURNAL OF RHINOLOGY 2019. [DOI: 10.18787/jr.2019.26.2.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Affiliation(s)
- Ki-Il Lee
- Department of Otorhinolaryngology-Head and Neck Surgery, Konyang University College of Medicine, Daejeon, Korea
| | - Hong Geun An
- Department of Otorhinolaryngology-Head and Neck Surgery, Konyang University College of Medicine, Daejeon, Korea
| | - Sung Ran Hong
- Department of Pathology, Konyang University College of Medicine, Daejeon, Korea
| | - Jong-Yeup Kim
- Department of Otorhinolaryngology-Head and Neck Surgery, Konyang University College of Medicine, Daejeon, Korea
| | - Seung Min In
- Department of Otorhinolaryngology-Head and Neck Surgery, Konyang University College of Medicine, Daejeon, Korea
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Aitken-Saavedra J, da Silva KD, Gomes APN, Vasconcelos ACU, Etges A, Nóbrega TG, Tarquinio SBC. Clinicopathologic and immunohistochemical characterization of 14 cases of angioleiomyomas in oral cavity. Med Oral Patol Oral Cir Bucal 2018; 23:e564-e568. [PMID: 30148476 PMCID: PMC6167101 DOI: 10.4317/medoral.22649] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2018] [Accepted: 07/05/2018] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Angioleiomyoma (ALM) is a benign neoplasm that originates from vascular smooth muscle. It is extremely rare in oral cavity. The objective of this study was to evaluate the clinicopathological and immunohistochemical characteristics of all oral angioleiomyomas registered in a Center of Diagnosis of Oral Diseases from 1959 to 2017. MATERIAL AND METHODS Slides from 14 cases of ALM stained with hematoxylin and eosin (H&E) were analyzed to confirm the diagnosis. Moreover, an immunohistochemical panel with alpha-smooth muscle actin (alpha-SMA), desmin, AE1/AE3, CD68, S-100, and CD34 antibodies was performed to evaluate semi-quantitatively the positive cells. RESULTS ALM correspond to 0.08% of all benign oral tumors analyzed during the 57-year period. The mean age of the patients was 45 years with a predilection to males (58%). The most frequently reported site was lips (50%). Microscopic analysis on H&E sections revealed similar pattern in all cases, showing well-circumscribed and encapsulated tumors, characterized by a proliferation of smooth muscle cells and wide vascular spaces of varying sizes. The predominant immuno profiles were: alpha-smooth muscle actin (alpha-SMA) positive (strong immunoreactivity); positive variable pattern for desmin, negative immunoprofile for AE1/AE3, CD68, and S-100. The endothelial cells of vascular spaces were CD34+. CONCLUSIONS Based on the results, the alpha-SM actin can be elected as a good marker for angioleiomyomas and can help the confirmation of the morphologic diagnosis of this lesion.
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Cox J, Armstrong JE, Pandey S, Wehrli B, Chan KC, McCord C. Enlarging growth of the mental region in a 48-year-old man. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 128:191-198. [PMID: 30122440 DOI: 10.1016/j.oooo.2018.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2018] [Revised: 05/18/2018] [Accepted: 07/02/2018] [Indexed: 11/26/2022]
Affiliation(s)
- Jacqueline Cox
- Department of Dentistry, London Health Sciences Centre, London, Ontario, Canada; Department of Dentistry, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
| | - Jerrold E Armstrong
- Department of Dentistry, London Health Sciences Centre, London, Ontario, Canada; Department of Dentistry, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
| | - Sachin Pandey
- Department of Medical Imaging, London Health Sciences Centre and Western University, London, Ontario, Canada
| | - Bret Wehrli
- Department of Pathology and Laboratory Medicine, London Health Sciences Centre, London, Ontario, Canada
| | - King Chong Chan
- Department of Oral and Maxillofacial Pathology, Radiology and Medicine, New York University College of Dentistry, New York, NY, USA
| | - Christina McCord
- Department of Dentistry, London Health Sciences Centre, London, Ontario, Canada; Department of Dentistry, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Department of Pathology and Laboratory Medicine, London Health Sciences Centre, London, Ontario, Canada; Division of Oral pathology, Department of Pathology and Laboratory Medicine, Western University, London, Ontario, Canada.
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Matiakis A, Karakostas P, Pavlou AM, Anagnostou E, Poulopoulos A. Angioleiomyoma of the oral cavity: a case report and brief review of the literature. J Korean Assoc Oral Maxillofac Surg 2018; 44:136-139. [PMID: 29963495 PMCID: PMC6024062 DOI: 10.5125/jkaoms.2018.44.3.136] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2017] [Revised: 11/06/2017] [Accepted: 11/20/2017] [Indexed: 12/30/2022] Open
Abstract
This study presents a case of an oral angioleiomyoma along with its clinical diagnostic approach and laboratory confirmation. The differential diagnosis, especially from angioleiomyosarcoma, is also included. A 51-year-old patient presented with a tumor-like lesion on his upper labial mucosa. The clinical examination revealed a benign lesion that was surgically removed. Histopathological and immunohistochemical examinations confirmed the diagnosis of an oral angioleiomyoma. The post-surgical period was uneventful. No recurrence had occurred after a year of follow-up surveillance. Oral angioleiomyoma is a very rarely occurring oral lesion. Clinically, it may mimic some benign lesions, including fibroma, pyogenic granuloma or minor salivary gland tumor. Surgical excision is the treatment of choice. Histological and immunohistochemical examination can confirm the diagnosis. The differential diagnosis is crucial to rule out angioleiomyosarcoma.
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Affiliation(s)
- Apostolos Matiakis
- Department of Oral Medicine and Pathology, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Panagiotis Karakostas
- Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Achilleia-Maria Pavlou
- Department of Oral Medicine and Pathology, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | | | - Athanasios Poulopoulos
- Department of Oral Medicine and Pathology, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Tamiolakis P, Kalyvas D, Arvanitidou I, Vlachaki A, Tosios KI, Sklavounou-Andrikopoulou A. Palatal schwannoma in a young female patient: report of a case and review of the literature. Eur Arch Paediatr Dent 2018; 19:279-285. [PMID: 29882201 DOI: 10.1007/s40368-018-0349-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2017] [Accepted: 05/14/2018] [Indexed: 11/25/2022]
Abstract
BACKGROUND A few cases of oral schwannomas in paediatric patients have appeared in the literature so far; however, there are no studies focusing solely on paediatric oral schwannomas. The aim of this study is to report a case of palatal schwannoma in a young female patient and review the pertinent literature on oral schwannomas in paediatric patients. CASE REPORT A 12-year-old girl presented with a growing swelling of 2 weeks duration on the hard palate. With a provisional diagnosis of a salivary gland neoplasm an incisional biopsy was performed under local anesthesia and the histologic examination disclosed an Antony A type schwannoma. TREATMENT Complete surgical resection of the lesion was performed under local anaesthesia through a palatal mucosa incision and paraffin gauze was sutured on the surgical area for protection during secondary healing. The bone underlying the tumor was normal. The postoperative period was uneventful and 2 weeks after excision the gauze were removed. FOLLOW-UP There have been no signs of recurrence during a 18-month follow up period. CONCLUSION A palatal swelling in a child or adolescent may represent a neoplasm, such as a schwannoma and requires careful clinical and radiographic evaluation of the dentition.
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Affiliation(s)
- P Tamiolakis
- Department of Oral Medicine and Pathology, School of Dentistry, National and Kapodistrian University of Athens, 2 Thivon Str, Goudi, 115 27, Athens, Greece.
| | - D Kalyvas
- Department of Oral and Maxillofacial Surgery, School of Dentistry, National and Kapodistrian University of Athens, 2 Thivon Str, Goudi, 115 27, Athens, Greece
| | - I Arvanitidou
- Department of Oral Medicine and Pathology, School of Dentistry, National and Kapodistrian University of Athens, 2 Thivon Str, Goudi, 115 27, Athens, Greece
| | - A Vlachaki
- Department of Oral and Maxillofacial Surgery, School of Dentistry, National and Kapodistrian University of Athens, 2 Thivon Str, Goudi, 115 27, Athens, Greece
| | - K I Tosios
- Department of Oral Medicine and Pathology, School of Dentistry, National and Kapodistrian University of Athens, 2 Thivon Str, Goudi, 115 27, Athens, Greece
| | - A Sklavounou-Andrikopoulou
- Department of Oral Medicine and Pathology, School of Dentistry, National and Kapodistrian University of Athens, 2 Thivon Str, Goudi, 115 27, Athens, Greece
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Salcines A, Woo SB, Noonan V, Mansfield MJ, Li CC. A well-circumscribed lobulated tumor on the hard palatal mucosa in a child. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 127:3-7. [PMID: 29337189 DOI: 10.1016/j.oooo.2017.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 11/24/2017] [Accepted: 12/02/2017] [Indexed: 11/24/2022]
Affiliation(s)
| | - Sook-Bin Woo
- Department of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, Massachussetts, USA; Center for Oral Pathology, StrataDx, Lexington, Massachussetts, USA
| | - Vikki Noonan
- Center for Oral Pathology, StrataDx, Lexington, Massachussetts, USA; Department of Oral and Maxillofacial Surgery, Division of Oral Pathology, Boston University Henry M. Goldman School of Dental Medicine, Boston, Massachussetts, USA
| | | | - Chia-Cheng Li
- Department of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, Massachussetts, USA.
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Cho ES, Kim HS, Kim JY. Large bulging mass of the posterior mandible in a child. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 125:1-5. [DOI: 10.1016/j.oooo.2017.06.122] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Revised: 06/22/2017] [Accepted: 06/24/2017] [Indexed: 11/29/2022]
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Vasconcelos ACU, Loyola AM, Gomes APN, de Araújo VC, Tarquínio SBC, Silveira FM, de Aguiar MCF. A symptomatic swelling of the upper lip. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 125:107-111. [PMID: 29248422 DOI: 10.1016/j.oooo.2017.10.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2017] [Revised: 10/19/2017] [Accepted: 10/27/2017] [Indexed: 12/27/2022]
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Kim DH, Lee JS, Kim JA, Lee JH. Solitary Piloleiomyoma in the Scalp. Arch Craniofac Surg 2017; 18:62-64. [PMID: 28913307 PMCID: PMC5556748 DOI: 10.7181/acfs.2017.18.1.62] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2016] [Revised: 03/04/2017] [Accepted: 03/04/2017] [Indexed: 11/11/2022] Open
Abstract
Cutaneous leiomyomas can be classified into three types according to the site of origin: piloleiomyoma, angioleiomyoma, and dartoic (genital) leiomyoma. It might be expected that leiomyomas are commonly found on the scalp because there are many arrector pili muscles and vessels. However, leiomyomas are actually rarely reported in the scalp. Recently, we observed a case of cutaneous leiomyoma in the scalp and present our experience along with a literature review.
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Affiliation(s)
- Dong Hwi Kim
- Department of Plastic and Reconstructive Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea
| | - Ji Sung Lee
- Department of Plastic and Reconstructive Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea
| | - Jean A Kim
- Department of Clinical Pathology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea
| | - Jung Ho Lee
- Department of Plastic and Reconstructive Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea
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A case of otitis media with effusion due to leiomyoma of the Eustachian tube. Braz J Otorhinolaryngol 2017; 86 Suppl 1:51-54. [PMID: 28818348 PMCID: PMC9422735 DOI: 10.1016/j.bjorl.2017.06.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2017] [Accepted: 06/30/2017] [Indexed: 11/29/2022] Open
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Rawal SY, Rawal YB. Angioleiomyoma (Vascular Leiomyoma) of the Oral Cavity. Head Neck Pathol 2017; 12:123-126. [PMID: 28589436 PMCID: PMC5873482 DOI: 10.1007/s12105-017-0827-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Accepted: 05/24/2017] [Indexed: 11/27/2022]
Abstract
A 70-year-old male presented with a slow growing, dome shaped and painless mass of the hard palate. The mass was excised. Histopathological examination confirmed the diagnosis of a angioleiomyoma (vascular leiomyoma). A leiomyoma is an uncommon benign tumor of smooth muscle differentiation. True leiomyomas of the oral cavity are rare and most oral tumors are derived from the smooth muscle of walls of blood vessels. Therefore, they are called vascular leiomyomas or angioleiomyomas. Clinically, they may resemble a myriad other conditions both benign and malignant. A definitive diagnosis depends upon histopathological examination of the biopsied tissue in correlation with the tumor cell immunohistochemistry. Tumors are excised and recurrence is rare. The histopathological findings and differential diagnosis of a case of a palatal angioleiomyoma are discussed.
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Affiliation(s)
- Swati Y. Rawal
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | - Yeshwant B. Rawal
- Department of Oral & Maxillofacial Surgery, School of Dentistry, University of Washington, B-204 Magnuson Health Sciences Center, 1959 NE Pacific Street, Box 357133, Seattle, WA 98195 USA
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Dutt KC, Bindra S, Awana M, Talwar M, Lehl G. Intraosseous Leiomyoma of the Mandible: A Case Report of the Rare Entity and Review of Literature. J Maxillofac Oral Surg 2017; 16:145-151. [PMID: 28439152 PMCID: PMC5385679 DOI: 10.1007/s12663-016-0934-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2015] [Accepted: 06/17/2016] [Indexed: 11/25/2022] Open
Abstract
INTRODUCTION Leiomyoma is a rare tumor of smooth muscle origin with a very low incidence in the maxillofacial region. Intraosseous occurrence of oral leiomyoma is even rare with involvement of mandible followed by maxilla. AIM The purpose of this paper is to present a case of intraosseous leiomyoma of the left mandibular angle region with the review of literature describing this rare entity. The paper also highlights the need to include this entity in differential diagnoses of jaw lesions. MATERIAL AND METHOD An extensive search of literature was carried out on the Medline-Pubmed and Google Scholar database using the keywords leiomyoma, maxilla, mandible, oral and palate to thoroughly search and collect all the reported cases of intraosseous leiomyoma. RESULT To the best of our knowledge till date only 22 cases of intraosseous leiomyoma have been reported in the maxillomandibular region we represent the 23rd case of the intraosseous leiomyoma in a 36 year old male patient. CONCLUSION Though uncommon but it is known to occur in the jaws therefore intraosseous leiomyoma should be included in the list of differential diagnoses of radiolucent lesion of mandible and maxilla.
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Affiliation(s)
- Kirti Chaudhry Dutt
- Department of Dentistry, All India Institute of Medical Sciences, Jodhpur, 342005 India
| | - Sukhvinder Bindra
- Department of Oral and Maxillofacial Surgery, Army College of Dental Sciences, Secunderabad, India
| | - Meenakshi Awana
- Department of Dentistry, Government Medical College and Hospital, Sec – 32, Chandigarh, 160030 India
| | - Manjit Talwar
- Department of Dentistry, Government Medical College and Hospital, Sec – 32, Chandigarh, 160030 India
| | - Gurvanit Lehl
- Department of Dentistry, Government Medical College and Hospital, Sec – 32, Chandigarh, 160030 India
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Abstract
This report describes a case of labial angioleiomyoma in a 52-year-old woman. The patient had noticed a slow-growing painless isolated mass in her upper lip for 6 months. The mass was surgically excised, and pathological examination was consistent with angioleiomyoma. Surgical excision was curative, and there was no recurrence at 12-month follow-up.
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Affiliation(s)
- Yazan Hassona
- Department of Oral and Maxillofacial Surgery, Oral Medicine, and Pathology, School of Dentistry, University of Jordan, Amman, Jordan
| | - Faleh Sawair
- Department of Oral and Maxillofacial Surgery, Oral Medicine, and Pathology, School of Dentistry, University of Jordan, Amman, Jordan
| | - Crispian Scully
- Eastman Dental Institute, University College London, London, London, UK
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Osano H, Ioka Y, Okamoto R, Nakai Y, Hayashi H, Tsuchiya Y, Yamada S. Angioleiomyoma of the cheek: a case report. J Oral Sci 2016; 57:63-6. [PMID: 25807911 DOI: 10.2334/josnusd.57.63] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
Angioleiomyoma is a form of subcutaneous vascular leiomyoma that usually occurs in the extremities. Leiomyoma of the oral cavity represents only 0.4% of soft tissue neoplasms and 0.06% of leiomyomas. Isolated cases of angioleiomyoma have been reported in the knee and lower thigh, gastrointestinal tract, genital and renal tract, and brain. Histopathologic examination by biopsy is necessary to establish a diagnosis, and immunohistochemical staining, along with conventional hematoxylin-eosin staining, is important. The differential diagnosis includes hemangioma and angiosarcoma. At present, surgical resection is the standard therapy for leiomyoma, and recurrence is extremely rare. We report a rare case of angioleiomyoma of the cheek in a 45-year-old man. The postoperative course was uneventful, without complications.
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Affiliation(s)
- Hitoshi Osano
- Department of Dentistry, Oral and Maxillofacial Surgery, Saitama Medical Center, Jichi Medical University
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Vascular leiomyoma of the nasal cavity: case report and literature review. Eur Arch Otorhinolaryngol 2016; 274:579-583. [PMID: 27164945 DOI: 10.1007/s00405-016-4087-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2016] [Accepted: 05/05/2016] [Indexed: 10/21/2022]
Abstract
We report a case of a 54-year-old man with an angioleiomyoma originating from the right nasal floor. Nasal vascular leiomyomas are extremely rare tumours. A review of the literature revealed a limited number of cases of vascular leiomyoma in the nasal cavity. Clinically, they are characterised by nasal obstruction, epistaxis or pain as the primary symptom. Up to our knowledge, this is the first case in which a 3D CT scan was performed preoperatively. 3D CT scan reconstructions can show the delineation of the tumour very accurately helping to establish the therapeutic plan for removal. The definite diagnosis can only be confirmed by histopathology. Histopathologically, a vascular leiomyoma demonstrates proliferation of smooth muscle cells intermingled with dilated venous vessels.
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Arpağ OF, Damlar I, Kılıç S, Altan A, Taş ZA, Özgür T. Angioleiomyoma of the gingiva: a report of two cases. J Korean Assoc Oral Maxillofac Surg 2016; 42:115-9. [PMID: 27162753 PMCID: PMC4860377 DOI: 10.5125/jkaoms.2016.42.2.115] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2015] [Revised: 08/28/2015] [Accepted: 11/07/2015] [Indexed: 11/07/2022] Open
Abstract
Leiomyoma is a type of benign smooth muscle neoplasm that is a common neoplasm of the uterus and gastrointestinal tract but rarely affects the head and neck region and is especially unlikely to affect the oral cavity. The diagnosis of leiomyoma is mainly determined by histopathological studies due to variation in its clinical appearance and symptoms. In the present paper we report two rare cases of gingival angioleiomyoma in the posterior maxilla and mandible. After total excision, hematoxylin-eosin and smooth muscle actin staining confirmed the diagnosis of angioleimyoma.
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Affiliation(s)
- Osman Fatih Arpağ
- Department of Periodontology, Faculty of Dentistry, Mustafa Kemal University, Hatay, Turkey
| | - Ibrahim Damlar
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mustafa Kemal University, Hatay, Turkey
| | - Soydan Kılıç
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mustafa Kemal University, Hatay, Turkey
| | - Ahmet Altan
- Department of Oral and Maxillofocial Surgery, Faculty of Dentistry, Gaziosmanpasa University, Tokat, Turkey
| | - Zeynel Abidin Taş
- Department of Pathology, Faculty of Medicine, Mustafa Kemal University, Hatay, Turkey
| | - Tümay Özgür
- Department of Pathology, Faculty of Medicine, Mustafa Kemal University, Hatay, Turkey
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Park GH, Chang SE, Lee MW, Choi JH. Angioleiomyoma presenting as asymmetric persistent swelling of the lower lip. DERMATOL SIN 2015. [DOI: 10.1016/j.dsi.2014.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Agostini M, Abrahão AC, Cabral MG, de Andrade BAB, Romañach MJ. Clinicopathologic conference: bluish gingival nodule. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 120:544-7. [PMID: 26253959 DOI: 10.1016/j.oooo.2015.06.032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2015] [Revised: 04/09/2015] [Accepted: 06/16/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Michelle Agostini
- Department of Oral Diagnosis and Pathology, Federal University of Rio de Janeiro School of Dentistry (UFRJ), Rio de Janeiro, Brazil
| | - Aline Corrêa Abrahão
- Department of Oral Diagnosis and Pathology, Federal University of Rio de Janeiro School of Dentistry (UFRJ), Rio de Janeiro, Brazil
| | - Márcia Grillo Cabral
- Department of Oral Diagnosis and Pathology, Federal University of Rio de Janeiro School of Dentistry (UFRJ), Rio de Janeiro, Brazil
| | | | - Mário José Romañach
- Department of Oral Diagnosis and Pathology, Federal University of Rio de Janeiro School of Dentistry (UFRJ), Rio de Janeiro, Brazil.
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Ishikawa S, Fuyama S, Kobayashi T, Taira Y, Sugano A, Iino M. Angioleiomyoma of the tongue: a case report and review of the literature. Odontology 2014; 104:119-22. [PMID: 25238675 DOI: 10.1007/s10266-014-0175-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Accepted: 08/11/2014] [Indexed: 10/24/2022]
Abstract
Angioleiomyoma (AL) is a benign tumor derived from smooth muscle. The overwhelming majority of ALs occur in the uterus, gastrointestinal tract, or skin; AL of the oral cavity is infrequent, and AL of the tongue is particularly rare. The present report describes a case of AL of the tongue that resulted in a good outcome. We also review the literature with a special emphasis on the etiology of ALs. It is generally agreed that minor trauma, venous stasis, and hormonal changes are etiological factors for AL. The roles of estrogen and progesterone have been particularly emphasized, and the expression of progesterone receptors (PRs) and estrogen receptors (ERs) has been recently evaluated in some cases of AL. To our knowledge, the presence of PRs and ERs has only been evaluated in seven cases of AL arising in different regions of the body including the oral cavity. This is the first report to demonstrate negative expression of both receptors in an AL of the oral cavity. Further study and additional cases are needed to elucidate the influence of PRs and ERs in AL of the oral cavity.
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Affiliation(s)
- Shigeo Ishikawa
- Department of Dentistry, Oral and Maxillofacial-Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, 2-2-2 Iida-nishi, Yamagata, 990-9585, Japan.
| | - Shigemi Fuyama
- Department of Diagnostic Pathology, Okitama Public General Hospital, 2000 Nishi-Otsuka, Kawanishi-machi, Higashi-Okitama-gun, Yamagata, 992-0601, Japan
| | - Takehito Kobayashi
- Department of Dentistry, Oral and Maxillofacial Surgery, Okitama Public General Hospital, 2000 Nishi-Otsuka, Kawanishi-machi, Higashi-Okitama-gun, Yamagata, 992-0601, Japan
| | - Yukio Taira
- Department of Dentistry, Oral and Maxillofacial Surgery, Okitama Public General Hospital, 2000 Nishi-Otsuka, Kawanishi-machi, Higashi-Okitama-gun, Yamagata, 992-0601, Japan
| | - Ayako Sugano
- Department of Dentistry, Oral and Maxillofacial-Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, 2-2-2 Iida-nishi, Yamagata, 990-9585, Japan
| | - Mitsuyoshi Iino
- Department of Dentistry, Oral and Maxillofacial-Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, 2-2-2 Iida-nishi, Yamagata, 990-9585, Japan
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35
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Akbulut S, Berk D, Demir MG, Kayahan S. Myopericytoma of the tongue: a case report. ACTA MEDICA (HRADEC KRÁLOVÉ) 2014; 56:124-5. [PMID: 24592750 DOI: 10.14712/18059694.2014.20] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Myopericytoma is a rare benign tumour composed of pericytic cells that show myoid differentiation and have a tendency for concentric perivascular growth. It belongs to a spectrum ofperivascular myoid cell neoplasms. To date, only a small number of cases of myopericytoma involving the oral cavity have been reported. We describe a case of myopericytoma presenting as a slowly growing tongue nodule in a 61-year-old woman. A diagnosis of myopericytoma was established with the histopathological findings combined with immunohistochemical staining. Myopericytoma should be included in the differential diagnosis of well-circumscribed, slow-growing lesions of the oral cavity.
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Affiliation(s)
- Sevtap Akbulut
- Department of Otolaryngology Head and Neck Surgery, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.
| | - Derya Berk
- Department of Otolaryngology Head and Neck Surgery, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey
| | - Mehmet G Demir
- Department of Otolaryngology Head and Neck Surgery, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey
| | - Sibel Kayahan
- Department of Pathology, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey
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Liu Y, Li B, Li L, Liu Y, Wang C, Zha L. Angioleiomyomas in the head and neck: A retrospective clinical and immunohistochemical analysis. Oncol Lett 2014; 8:241-247. [PMID: 24959254 PMCID: PMC4063654 DOI: 10.3892/ol.2014.2124] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2013] [Accepted: 04/16/2014] [Indexed: 02/05/2023] Open
Abstract
Angioleiomyoma is a benign soft-tissue tumor originating from vascular smooth muscle, and is rare in the head and neck. The present study retrospectively examined a cohort of patients with head and neck angioleiomyoma treated at the West China Hospital of Stomatology, and also subjected archived tissues to modern immunohistochemical analysis. In total, 21 patients were treated for angioleiomyoma between 1978 and 2012 at the West China Hospital of Stomatology, Sichuan University (Chengdu, Sichuan, China). Medical records were examined and paraffin block sections were cut and stained with hematoxylin and eosin, Masson’s trichrome stain and Van Gieson stain, prior to being subjected to immunohistochemical analysis to re-evaluate and confirm the diagnoses. Angioleiomyomas were found to account for only 0.18% of the benign head and neck tumors in the patients presenting to the hospital over the past 34 years. The diagnosis was more common in males (male:female ratio, 1.625:1) and the mean age at diagnosis was 42.5 years. The most common sites were the buccal mucosa, parotid gland and palate. More than half of the tumors (61.9%) were >2 cm in diameter. Five tumors presented with pain and/or tenderness. The histological subtype was reported as solid in five cases, venous in six, cavernous in nine and venous-cavernous in one. Three tumors exhibited nerve neurofibrils. All tumors were excised with no subsequent recurrence. Cytological and imaging examinations were not useful for pre-operative diagnosis. Angioleiomyoma is a benign tumor that causes limited morbidity. Surgical excision is the only effective treatment and recurrence is rare. The present study revealed that nerves were present in a small proportion (14.3%) of tumors. It was hypothesized that the compression of nerves accompanying numerous blood vessels in the tumor may cause pain, particularly in venous- and cavernous-type angioleiomyomas.
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Affiliation(s)
- Ying Liu
- Department of Oral and Maxillofacial Surgery, Xiangya Stomatological Hospital, Central South University, Changsha, Hunan, P.R. China ; State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, P.R. China
| | - Bo Li
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, P.R. China
| | - Longjiang Li
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, P.R. China ; Department of Head and Neck Oncology Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, P.R. China
| | - Yanbin Liu
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, P.R. China ; Department of Head and Neck Oncology Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, P.R. China
| | - Chenxing Wang
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, P.R. China ; Department of Head and Neck Oncology Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, P.R. China
| | - Lagabaiyila Zha
- Department of Forensic Science, School of Basic Medical Sciences, Central South University, Changsha, Hunan, P.R. China
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Tsuji T, Satoh K, Nakano H, Kogo M. Clinical Characteristics of Angioleiomyoma of the Hard Palate: Report of a Case and an Analysis of the Reported Cases. J Oral Maxillofac Surg 2014; 72:920-6. [DOI: 10.1016/j.joms.2013.11.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2013] [Revised: 11/11/2013] [Accepted: 11/11/2013] [Indexed: 10/26/2022]
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Intraosseous angioleiomyoma the tibia: a case report. Pathol Res Pract 2014; 210:321-4. [PMID: 24635970 DOI: 10.1016/j.prp.2014.01.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2013] [Revised: 12/03/2013] [Accepted: 01/29/2014] [Indexed: 11/20/2022]
Abstract
Angioleiomyoma (vascular leiomyoma/angiomyoma) is a morphologically distinctive tumor characterized by proliferating smooth muscle cells admixed with prominent vascular elements. The majority of angioleiomyomas involve the superficial soft tissues. Examples of this lesion originating in bone, particularly in the appendicular skeleton, are extremely rare. The present report details the clinicopathologic features of an unusual case of an intraosseous angioleiomyoma arising in the distal tibia. The skeletal tumor exhibited the typical histologic appearance and immunophenotypic features of this entity. Due to its rarity, angioleiomyoma of bone can pose problems in diagnosis. Awareness that angioleiomyoma can present as a primary intraosseous lesion is important so as not to confuse this neoplasm with more commonly encountered bone tumors.
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Veeresh M, Sudhakara M, Girish G, Naik C. Leiomyoma: A rare tumor in the head and neck and oral cavity: Report of 3 cases with review. J Oral Maxillofac Pathol 2013; 17:281-7. [PMID: 24250094 PMCID: PMC3830242 DOI: 10.4103/0973-029x.119770] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Leiomyomas are benign tumors arising from smooth muscle, most commonly seen in uterine myometrium, gastrointestinal tract, skin and lower extremities of middle-aged women. Leiomyomas are uncommon in the oral cavity with reported incidence of 0.065%, which accounts for 0.42% of all soft-tissue neoplasms in the oral cavity. Leiomyomas of head and neck region account for less than 1% of all leiomyomas. The most common site of leiomyoma in the head and neck region is the lips (27.46%) followed by tongue (18.30%), cheeks and palate (15.49%), gingiva (8.45%) and mandible (5.63%). The purpose of this article is to present three cases of leiomyoma comprising of an intraoral vascular leiomyoma and two solid leiomyomas in the head and neck region. The clinical features, etiology, differential diagnosis and treatment of leiomyoma are discussed with review of the literature.
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Affiliation(s)
- M Veeresh
- Department of Oral and Maxillofacial Surgery, Krishnadevaraya College of Dental Sciences, Bangalore, Karnataka, India
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40
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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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41
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Wang HL, Chiang FY, Tai CF, Tsai KB, Wang LF. Lingual leiomyomatous hamartoma with bifid tip and ankyloglossia in a patient without oral-facial-digital syndrome: a case report and literature review. World J Surg Oncol 2013; 11:230. [PMID: 24040829 PMCID: PMC3847501 DOI: 10.1186/1477-7819-11-230] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2013] [Accepted: 09/05/2013] [Indexed: 11/10/2022] Open
Abstract
Here is a rare case of lingual leiomyomatous hamartoma (LLH) with bifid tongue tip and tongue-tie in a patient with non-oral-facial-digital syndrome (OFDS). A 29-year-old male consulted for a painless tumor over the midline of the tongue dorsum measuring 2 × 1.5 cm. The tumor was excised and the tongue-tie was corrected. Diagnosis of LLH was based on histo-pathologic and immuno-histochemical studies. The epidemiologic data and differential diagnosis of LLH, as well as related literature, are discussed. To date, only 14 cases of LLH have been reported in English literature. This may be the first reported case of LLH with bifid tip and ankyloglossia in a non-OFDS patient.
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Affiliation(s)
- Hsing-Liang Wang
- Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan.
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Vascular leiomyoma in the head and neck region: 11 years experience in one institution. Clin Exp Otorhinolaryngol 2013; 6:171-5. [PMID: 24069521 PMCID: PMC3781231 DOI: 10.3342/ceo.2013.6.3.171] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2012] [Revised: 07/17/2012] [Accepted: 09/18/2012] [Indexed: 12/04/2022] Open
Abstract
Objectives Vascular leiomyoma is an uncommon benign tumor of smooth muscle origin that arises from the muscularis layer of blood vessel walls. We report our experiences with the clinical manifestations, pathologic characteristics, and management of vascular leiomyoma in the head and neck. Methods The clinical records of 12 patients with vascular leiomyoma of the head and neck in the 11-year period were reviewed retrospectively. Results The 12 patients included nine men and three women. The locations of the tumors were variable, including nasal cavity, auricle, hard palate, upper lip, upper eyelid, and supraclavicular space. All but three patients reported an asymptomatic spherical mass; the other three patients complained of intermittent epistaxis or unilateral nasal obstruction resulting from the tumor originating in the nasal cavity. All tumors were painless. Computed tomography consistently revealed a well-defined, intensely enhanced small mass on the mucosa. No case was dignosed corretly as vascular leiomyoma before surgical excision. All patients underwent localized surgical excision of the tumor without recurrence. Five of 12 tumors (42%) were of solid type, four (33%) were of venous type, and three (25%) were of cavernous in histological classification. The histologic type was not related to gender, site of occurrence, and presence of pain. Conclusion Vascular leiomyoma presents as a small, painless mass in various locations of the head and neck region. Localized surgical excision is the only way to make the diagnosis and yields excellent results.
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A case of angioleiomyoma in the buccal space. Odontology 2013; 103:109-11. [PMID: 23907201 DOI: 10.1007/s10266-013-0128-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2013] [Accepted: 07/12/2013] [Indexed: 11/27/2022]
Abstract
Angioleiomyoma in the buccal space is a less common benign neoplasm. To the best of our knowledge, only two cases have been described. We herein describe a new case of angioleiomyoma in the buccal space of a 45-year-old Japanese woman. No specific features were observed on clinical examination or ultrasonography. With an initial diagnosis of an ectopic lymph node or benign tumor, excision via the oral cavity was performed under local anesthesia. Healing was uneventful. Immunohistochemical examination revealed that the excised specimen was progesterone receptor-positive and estrogen receptor-negative.
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44
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Angioleiomyoma of the auricle. Arch Plast Surg 2013; 40:68-9. [PMID: 23362484 PMCID: PMC3556538 DOI: 10.5999/aps.2013.40.1.68] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2012] [Revised: 10/22/2012] [Accepted: 11/02/2012] [Indexed: 12/02/2022] Open
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45
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Abstract
Oral leiomyoma is a benign smooth muscle tumor with a low incidence. Oral leiomyomas present as slow growing, asymptomatic sub mucosal masses, usually in the tongue, hard palate or buccal mucosa. They may be seen at any age and are usually discovered when they are 1 to 2 cm in diameter. The diagnosis is mainly determined by histological studies and special stains that confirm the smooth muscle origin. Surgical excision appears to be the best line of treatment and recurrence is unexpected. The purpose of this article is to present a case of a 32-year old male with a 1 month history of a leiomyoma on his right submandibular region.
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Affiliation(s)
- Gurkiran Kaur
- Department of Oral Pathology, Gian Sagar Dental College and Hospital, Banur, Punjab, India
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46
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Head and neck vascular leiomyoma in a Brazilian population. Oral Surg Oral Med Oral Pathol Oral Radiol 2012. [DOI: 10.1016/j.oooo.2012.08.290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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47
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Eley KA, Alroyayamina S, Golding SJ, Tiam RN, Watt-Smith SR. Angioleiomyoma of the hard palate: report of a case and review of the literature and magnetic resonance imaging findings of this rare entity. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114:e45-9. [DOI: 10.1016/j.oooo.2012.01.014] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2011] [Revised: 11/23/2011] [Accepted: 01/03/2012] [Indexed: 11/17/2022]
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48
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Multiple oral leiomyomas in an infant: a rare case. Case Rep Dent 2012; 2012:804305. [PMID: 22701189 PMCID: PMC3371667 DOI: 10.1155/2012/804305] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2012] [Accepted: 04/12/2012] [Indexed: 12/01/2022] Open
Abstract
Oral leiomyoma is a benign smooth muscle tumor that occurs most frequently in the uterine myometrium, gastrointestinal tract, and skin. Incidence in the oral cavity is considered uncommon. Most cases are reported in adults, with very few cases described in children. A rare case of multiple leiomyomas localized on the tongue, cheek, and floor of the mouth of an 8-month-old baby is reported. The diagnosis of leiomyoma in the oral cavity is mainly determined by histological studies; however, immunohistochemical tests are recommended in order to differentiate from other tumors. Surgical excision of the lesion appears to be the best treatment option. A review of the literature did not reveal any previously reported case of multiple oral leiomyomas.
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49
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Woo SB. Vascular, Neural, and Muscle Tumors. ORAL PATHOLOGY 2012:106-136. [DOI: 10.1016/b978-1-4377-2226-0.00006-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
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Ziyade S, Ugurlucan M, Soysal O, Cemil Akdemir O. Leiomyoma of the extrapleural chest wall: an atypical location. Arch Med Sci 2011; 7:356-60. [PMID: 22291782 PMCID: PMC3258709 DOI: 10.5114/aoms.2011.22093] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2009] [Revised: 06/20/2009] [Accepted: 07/25/2009] [Indexed: 11/17/2022] Open
Abstract
Tumours of the thoracic wall constitute a wide histological spectrum. However, the literature includes very few reports of a leiomyoma occurring at the extrapleural chest wall. In this report we present our experience together with a review of the literature. Our patient was a 33-year-old woman who was diagnosed with leiomyoma of the chest wall and treated accordingly and successfully. To the best of our knowledge, this is the seventh report in the literature defining the clinical entity.
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Affiliation(s)
- Sedat Ziyade
- Bezmi Alem Foundation University, Department of Thoracic Surgery, Istanbul, Turkey
| | - Murat Ugurlucan
- Düzce Ataturk State Hospital, Cardiovascular Surgery Clinic, Düzce, Turkey
| | - Omer Soysal
- Bezmi Alem Foundation University, Department of Thoracic Surgery, Istanbul, Turkey
| | - Osman Cemil Akdemir
- Bezmi Alem Foundation University, Department of Thoracic Surgery, Istanbul, Turkey
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