Journal of Maxillofacial and Oral Surgery

, Volume 16, Issue 2, pp 145–151 | Cite as

Intraosseous Leiomyoma of the Mandible: A Case Report of the Rare Entity and Review of Literature

  • Kirti Chaudhry Dutt
  • Sukhvinder BindraEmail author
  • Meenakshi Awana
  • Manjit Talwar
  • Gurvanit Lehl
Review Paper



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.


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.


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.


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.


Intraosseous Mandible Maxilla 


Compliance with Ethical Standards

Conflict of interest



No funding or grants received.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

Informed consent was obtained from the patient.


  1. 1.
    Enzinger FM, Weiss SW (1988) Benign tumors of the smooth muscles. In: Enzinger FM, Weiss SW (eds) Soft tissue tumors, 2nd edn. CV Mosby, St. Louis, MO, pp 383–401Google Scholar
  2. 2.
    Veeresh M, Sudhakara M, Girish G, Naik C (2013) Leiomyoma: a rare tumor in the head and neck and oral cavity: report of 3 cases with review. Oral Maxillofac Pathol 17(2):281–287CrossRefGoogle Scholar
  3. 3.
    Farman A, Kay S (1977) Oral leiomyosarcoma: report of a case and review of the literature pertaining to smooth muscle tumors of the oral cavity. Oral Surg Oral Med Oral Pathol 43:402CrossRefPubMedGoogle Scholar
  4. 4.
    Blanc E (1884) Contribution Petude des tumeurs fibreuses de la langue. Gaz Hebdomad de Med et de Chir 21:611–613Google Scholar
  5. 5.
    Yamamoto H, Takagi M, Otake S, Mori M (1983) Leiomyoma of the right lower gingiva: a case and the Japanese literature review. J Oral Maxillofac Surg 41:671–675CrossRefPubMedGoogle Scholar
  6. 6.
    Rhatingan RM, Kim ZE (1976) Leiomyoma arising adjacent to a maxillary tooth socket: an intraosseous leiomyoma presenting as an odontogenic lesion. South Med J 69:493–494CrossRefGoogle Scholar
  7. 7.
    Goldblatt LI, Edcscss RB (1977) Central leiomyoma of the mandible: report of a case with ultrastructural confirmation. Oral Surg Oral Med Oral Pathol 43:591–597CrossRefPubMedGoogle Scholar
  8. 8.
    Mechlin DC, Hamasaki CK, Moore JR, Davis WE, Templer J (1980) Leiomyoma of the maxilla: report of a case. Laryngoscope 90:1230–1233CrossRefPubMedGoogle Scholar
  9. 9.
    White DK, Selinger LR, Miller AS, Behr MM, Damm DD (1985) Primary angioleiomyoma of the mandible. J Oral Maxillofac Surg 43(29):640–644CrossRefPubMedGoogle Scholar
  10. 10.
    McMillan MD, Ferguson JW, Kardos TB (1986) Mandibular vascular Ieiomyoma. Oral Surg Oral Med Oral Pathol 62:427–433CrossRefPubMedGoogle Scholar
  11. 11.
    Raffaini M, Baggi MT, Bozetti A, Sesenna E, Gabrielli M (1990) Mandibular leiomyoma in an infant: report of a case. Int J Oral Maxillofac Surg 19:367–369CrossRefPubMedGoogle Scholar
  12. 12.
    Bhatt AP, Brave VR (1990) Angiomyoma of the mandible: a case report. J Indian Dent Assoc 61:298–299PubMedGoogle Scholar
  13. 13.
    MacLeod SP, Mitchell DA, Miller ID (1993) Intraosseous leiomyoma of the mandible: report of a case. Br J Oral Maxillofac Surg 31:187–188CrossRefPubMedGoogle Scholar
  14. 14.
    Burkes EJ Jr (1995) Vascular leiomyoma of the mandible: report of a case. J Oral Maxillofac Surg 53:65–66CrossRefPubMedGoogle Scholar
  15. 15.
    Labruna A, Reagan B, Papageorge A (1995) Leiomyoma of the maxillary sinus: a diagnostic dilemma. Otolaryngol Head Neck Surg 112:595–598PubMedGoogle Scholar
  16. 16.
    Katou F, Andoh N, Motegi K, Nagura H (1997) Leiomyoma of the mandible: a rapid growing case with immunohistochemical and electron microscopic observations. Oral Surg Oral Med Oral Pathol Oral Radio Endod 84(1):45–50CrossRefGoogle Scholar
  17. 17.
    Loyola AM, Araújo NS (1999) Intraosseous leiomyoma of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87:78–82CrossRefPubMedGoogle Scholar
  18. 18.
    Brooks JK, Nikolaos G, Nelson J, Bernard A (2002) Clinicopathologic characterization of oral angioleiomyomas. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 94:221–227CrossRefPubMedGoogle Scholar
  19. 19.
    Liang H, Frederiksen N, Binnie W, Cheng Y (2003) Intraosseous oral leiomyoma: systematic review and report of one case. Dentomaxillofac Radiol 32:285–290CrossRefPubMedGoogle Scholar
  20. 20.
    Bertolini F, Bianchi B (2003) Mandibular intraosseous leiomyoma in a child: report of a case. J Clin Pediatr Dent 27(4):385–387CrossRefPubMedGoogle Scholar
  21. 21.
    Koca H, Guneri P, Cetingul E, Onal T (2006) A very rare form of leiomyoma: mandibular angioleiomyoma. Int J Pediatric Otorhinolaryngol 1:110–114CrossRefGoogle Scholar
  22. 22.
    Suresh L, Matdumura E, Calixto LE, Ruckert E, Aguirre A (2007) Intraosseous angiomyoma of the mandible. Gen Dent 55(2):132–135PubMedGoogle Scholar
  23. 23.
    Konstantinos I, Melakopoulos I, Patrikiou A (2006) Intraosseous leiomyoma of the mandible. Oral Oncol Extra 42:184–186Google Scholar
  24. 24.
    Luis AGC et al (2008) Vascular leiomyoma of the oral cavity: Clinical, histopathological and immunohistochemical characteristics—presentation of five cases and review of the literature Mendez Sánchez. Med Oral Patol Oral Cir Bucal 13(8):E483–E488Google Scholar
  25. 25.
    Grossmann SM, Johann AC, Castro WH, Friedman H, Gomez RS, Mesquita RA (2009) Anterior midline nodule of the hard palate. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108(6):808–811CrossRefGoogle Scholar
  26. 26.
    Reddy B, Rani BS, Anuradha C (2011) Leiomyoma of the mandible in a child. J Oral Maxillofac Pathol 15:101–104CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Stout AP (1936) Leiomyoma of the oral cavity. Ann J Cancer 34:31–36CrossRefGoogle Scholar
  28. 28.
    Utz N (1965) Contribution to the clinical picture and pathology of leiomyoma in the oral cavity. Stoma 18:190–192PubMedGoogle Scholar
  29. 29.
    Garrett JR (1969) Angiomyoma of the palate: report of a case. Oral Surg Oral Med Oral Pathol 21:103–105CrossRefGoogle Scholar
  30. 30.
    Glas E (1905) Beitrage zur Pathologie der Zungengrundtumoren. Wien Klin Wochenschr 18:747–752Google Scholar
  31. 31.
    Baden E, Doyle JL, Lederman DA (1994) Leiomyoma of the oral cavity: a light microscopic and immunohistochemical study with review of the literature from 1884 to 1992. Eur J Cancer B Oral Oncol 30(1):1–7CrossRefGoogle Scholar
  32. 32.
    Laffosse JM, Brouchet AG, Giordano G, Bonnevialle N, Puget J (2007) Intraosseous leiomyoma: a report of two cases. Jt Bone Spine 74:389–392CrossRefGoogle Scholar
  33. 33.
    Duhig JT, Ayer JP (1959) Vascular leiomyoma: a study of sixty-one cases. Arch Pathol 68:424PubMedGoogle Scholar
  34. 34.
    Svane TJ, Smith BR, Cosentino BJ (1986) Oral leiomyomas. Review of the literature and report of a case of palatal angioleiomyoma. J Periodontol 57(7):433–435CrossRefPubMedGoogle Scholar
  35. 35.
    Damm D, Neville B (1979) Oral leiomyomas. Oral Surg 47:343CrossRefPubMedGoogle Scholar
  36. 36.
    Shimamoto T, Haruma K et al (1991) Growth rates of smooth muscles tumors of stomach. Jpn J Cancer 37:733–739Google Scholar
  37. 37.
    Praal FR, Ioannides CH, Van Beck GJ, Van de Molengraft F (1982) Oral leiomyomas. J Max Fac Surg 10:229–235CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2016

Authors and Affiliations

  • Kirti Chaudhry Dutt
    • 1
  • Sukhvinder Bindra
    • 2
    Email author
  • Meenakshi Awana
    • 3
  • Manjit Talwar
    • 3
  • Gurvanit Lehl
    • 3
  1. 1.Department of DentistryAll India Institute of Medical SciencesJodhpurIndia
  2. 2.Department of Oral and Maxillofacial SurgeryArmy College of Dental SciencesSecunderabadIndia
  3. 3.Department of DentistryGovernment Medical College and HospitalChandigarhIndia

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