Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-03T01:04:06.425Z Has data issue: false hasContentIssue false

Leiomyosarcoma of the tonsil

Published online by Cambridge University Press:  08 June 2011

B F Jones
Affiliation:
Department of ENT and Head and Neck Surgery, Arrowe Park Hospital, Wirral, UK
V Srinivasan*
Affiliation:
Department of ENT and Head and Neck Surgery, Arrowe Park Hospital, Wirral, UK
K Gumparthy
Affiliation:
Department of Histopathology, Arrowe Park Hospital, Wirral, UK
D Hughes
Affiliation:
Department of Radiology, Arrowe Park Hospital, Wirral, UK
*
Address for correspondence: Mr Venkat Srinivasan, Department of ENT and Head and Neck Surgery, Arrowe Park Hospital, Upton CH49 5PE, UK Fax: +44 (0)151 6047103 E-mail: [email protected]

Abstract

Objective:

We report a case of leiomyosarcoma arising in the tonsil in a 73-year-old man.

Method:

Case report and review of the English language literature (using Pubmed, Ovid and Proquest databases).

Results:

To our knowledge, this is the first case of tonsillar leiomyosarcoma to be reported in the English language literature. Our patient presented with haemoptysis, unilateral odynophagia and an ulcerated, exophytic lesion of the tonsil. Histological examination confirmed the diagnosis of leiomyosarcoma, and the patient was treated with radical radiotherapy.

Conclusion:

Leiomyosarcomas are extremely rare in the head and neck; the common sites of origin are the skin and sinonasal tract. The overall prognosis is poor.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Pfeiffer, J, Boedeker, C, Ridder, G, Maier, W, Kayser, G. Radiation-induced leiomyosarcoma of the oropharynx. Diagn Pathol 2006;1:16CrossRefGoogle ScholarPubMed
2Takahashi, T, Higo, R, Nakata, H, Sugasawa, M. Leiomyosarcoma of the hypopharynx: a case report. Auris Nasus Larynx 2008;35:304–7CrossRefGoogle ScholarPubMed
3Ulrich, C, Feiz-Erfan, I, Spetzler, R, Isaacs, J, Hott, J, Nakaji, P et al. Sinonasal leiomyosarcoma: review of literature and case report. Laryngoscope 2005;115:2242–8CrossRefGoogle ScholarPubMed
4Ramkrishnan, V, Said, S, Kingdom, T. Primary leiomyosarcoma of the sphenoid sinus. Arch Otolaryngol Head Neck Surg 2009;135:946–52Google Scholar
5Maronio, G, Bertino, G, Mariuzzi, L, Berhamin-Bracale, A, Lombardo, M, Beltrami, C. Laryngeal leiomyosarcoma. J Laryngol Otol 2000;114:398401CrossRefGoogle Scholar
6Grabowska, S, Zimnoch, L, Hubert, E, Duraj, E, Wincewicz-Pietrzykowska, A. Radiation induced leiomyosarcoma. Review of literature and case report. Otolaryngol Pol 2007;61:744–9CrossRefGoogle ScholarPubMed
7Tommerup, B, Mogensen, C, Nielsen, A. A leiomyosarcoma of the hypopharynx. J Laryngol Otol 1985;99:605–8CrossRefGoogle ScholarPubMed
8Geever, EF, Ackerman, LV, Dublin, WB, Stout, AP. Leiomyosarcoma of the buccal region. Cancer Semin 1949;6:1517Google Scholar
9Sedghizadeh, PP, Angiero, F, Allen, CM, Kalmar, JR, Rawal, Y, Albright, EA. Post-irradiation leiomyosarcoma of the maxilla: report of a case in a patient with prior radiation treatment for retinoblastoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;97:726–31CrossRefGoogle Scholar
10Mbulaiteye, SM, Prakin, DM, Rabkin, CS. Epidemiology of AIDS-related malignancies: an international perspective. Hematol Oncol Clin North Am 2003;17:673–96CrossRefGoogle ScholarPubMed
11Fuller, AM, Van Vliet, PD, Lillie, JC, Devine, KD. Pharyngeal leiomyosarcoma with fever of unknown etiology. Arch Otolaryngol 1966;84:96–8CrossRefGoogle Scholar
12Mankodi, RC, Shah, SS, Kanvinde, MS, Joshi, JS. Pharyngeal leiomyosarcoma. J Laryngol Otol 1970;84:327–30CrossRefGoogle ScholarPubMed
13Glover, GW, Park, WW. Pharyngeal leiomyosarcoma. J Laryngol Otol 1971;85:1031–8CrossRefGoogle ScholarPubMed
14Montgomery, E, Golbulum, J, Fisher, C. Leiomyosarcoma of the head and neck: a clinicopathological study. Histopathology 2002;40:518–25CrossRefGoogle ScholarPubMed
15Lajer, CB, Daugaard, S, Hansen, HS, Kirkegaard, J, Holmgaard, S, Christensen, ME. Soft tissue sarcomas of the head and neck: a single-centre experience. Clin Otolaryngol 2005;30:176–82CrossRefGoogle ScholarPubMed
16Goda, JS, Saravanan, K, Vashistha, RV, Kumar, V, Gupta, A. Leiomyosarcoma of the larynx: case report and review of the literature. Ear Nose Throat J 2008;87:283–7CrossRefGoogle ScholarPubMed
17Dry, S, Jorgensen, J, Fletcher, C. Leiomyosarcomas of the oral cavity: an unusual topographic subset easily mistaken for nonmesenchymal tumours. Histopathology 2000;36:210–20CrossRefGoogle ScholarPubMed