Abstract
This clinicopathologic study of primary oral leiomyosarcoma of the buccal mucosa involves a literature review of 15 cases with the addition of our report of a case. The demographic details, tumor size, treatment and outcome are documented for all the cases. In addition, this review examines the histologic features of leiomyosarcoma while noting that differentiation from other spindle cell tumors can be challenging, underscoring the necessity of an immunohistochemical work up for an accurate diagnosis. The unpredictability of the clinical behavior of these aggressive tumors requires, at the very least, wide local surgical excision and prolonged follow up.
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Solar AA, Jordan RC. Soft tissue tumors and common metastases of the oral cavity. Periodontol 2000. 2011;57(1):177–97.
Schutz A, Smeets R, Driemel O, Hakim SG, Kosmehl H, Hanken H, Kolk A. Primary and secondary leiomyosarcoma of the oral and perioral region–clinicopathological and immunohistochemical analysis of a rare entity with a review of the literature. J Oral Maxillofac Surg. 2013;71(6):1132–42.
Schenberg ME, Slootweg PJ, Koole R. Leiomyosarcomas of the oral cavity. Report of four cases and review of the literature. J Cranio-Maxillofac Surg. 1993;21(8):342–7.
Yan B, Li Y, Pan J, Xia H, Li LJ. Primary oral leiomyosarcoma: a retrospective clinical analysis of 20 cases. Oral Dis. 2010;16(2):198–203.
Lo Muzio L, Favia G, Mignogna MD, Piattelli A, Maiorano E. Primary intraoral leiomyosarcoma of the tongue: an immunohistochemical study and review of the literature. Oral Oncol. 2000;36(6):519–24.
Dry J, Fletcher M. Leiomyosarcomas of the oral cavity: an unusual topographic subset easily mistaken for nonmesenchymal tumours. Histopathology 2000;36(3):210–20.
Eppsteiner RW, DeYoung BR, Milhem MM, Pagedar NA. Leiomyosarcoma of the head and neck: a population-based analysis. Arch Otolaryngol Head Neck Surg. 2011;137(9):921–4.
Izumi K, Maeda T, Cheng J, Saku T. Primary leiomyosarcoma of the maxilla with regional lymph node metastasis. Report of a case and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;80(3):310–9.
Vilos GA, Rapidis AD, Lagogiannis GD, Apostolidis C. Leiomyosarcomas of the oral tissues: clinicopathologic analysis of 50 cases. J Oral Maxillofac Surg. 2005;63(10):1461–77.
De Bree R, Van Der Waal I, De Bree E, René Leemans C. Management of adult soft tissue sarcomas of the head and neck. Oral Oncol. 2010;46(11):786–90.
Singh RP, Grimer RJ, Bhujel N, Carter SR, Tillman RM, Abudu A. Adult head and neck soft tissue sarcomas: treatment and outcome. Sarcoma 2008. https://doi.org/10.1155/2008/654987.
Ahn JH, Mirza T, Ameerally P. Leiomyosarcoma of the tongue with multiple metastases: a case report and review of literature. J Oral Maxillofac Surg. 2012;70(7):1745–50.
Nikitakis NG, Lopes MA, Bailey JS, Blanchaert RH Jr, Ord RA, Sauk JJ. Oral leiomyosarcoma: review of the literature and report of two cases with assessment of the prognostic and diagnostic significance of immunohistochemical and molecular markers. Oral Oncol. 2002;38(2):201–8.
Montgomery E, Goldblum JR, Fisher C. Leiomyosarcoma of the head and neck: a clinicopathological study. Histopathology 2002;40(6):518–25.
Fernandez-Flores A. Epstein-Barr virus in cutaneous pathology. Am J Dermatopathol. 2013;35(8):763–86.
Zhang CZ, Spektor A, Cornils H, Francis JM, Jackson EK, Liu S, Meyerson M, Pellman D. Chromothripsis from DNA damage in micronuclei. Nature 2015;522(7555):179–84.
Chudasama P, Mughal SS, Sanders MA, Hubschmann D, Chung I, Deeg KI, Wong SH, Rabe S, Hlevnjak M, Zapatka M, et al. Integrative genomic and transcriptomic analysis of leiomyosarcoma. Nat Commun. 2018;9(1):144.
Chang AE, Chai X, Pollack SM, Loggers E, Rodler E, Dillon J, Parvathaneni U, Moe KS, Futran N, Jones RL. Analysis of clinical prognostic factors for adult patients with head and neck sarcomas. Otolaryngol Head Neck Surg. 2014;151(6):976–83.
Krishnan V, Miyaji CM, Mainous EG. Leiomyosarcoma of the mandible: a case report. J Oral Maxillofac Surg. 1991;49(6):652–5.
Robinson EC, Whyte AM. Leiomyosarcoma of the cheek: a case report. Br J Oral Surg. 1978;16(2):100–4.
Mesquita RA, Migliari DA, de Sousa SO, Alves MR. Leiomyosarcoma of the buccal mucosa: a case report. J Oral Maxillofac Surg. 1998;56(4):504–7.
Yadav R, Bharathan S. Leiomyosarcoma of the buccal mucosa: a case report with immunohistochemistry findings. J Oral Sci. 2008;50(2):215–8.
Ethunandan M, Stokes C, Higgins B, Spedding A, Way C, Brennan P. Primary oral leiomyosarcoma: a clinico-pathologic study and analysis of prognostic factors. Int J Oral Maxillofac Surg. 2007;36(5):409–16.
Nagpal DKJ, Prabhu PR, Shah A, Palaskar S. Leimyosarcoma of the buccal mucosa and review of literature. J Oral Maxillofac Pathol. 2013;17(1):149.
Suarez-Alen F, Otero-Rey E, Penamaria-Mallon M, Garcia-Garcia A, Blanco-Carrion A. Oral leiomyosarcoma: the importance of early diagnosis. Gerodontology 2015;32(4):314–7.
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Ko, E.M., McHugh, J.B. Primary Leiomyosarcoma of the Buccal Mucosa: Report of a Case and Review of the Literature. Head and Neck Pathol 12, 529–533 (2018). https://doi.org/10.1007/s12105-018-0907-5
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DOI: https://doi.org/10.1007/s12105-018-0907-5