Primary Cutaneous Leiomyosarcoma of the Face: A Rare Tumor that Is Difficult to Diagnose  

作　　者：Bakary Ouattara Konan Marc Koffi Ory Opokou Alexandre Demisère Koffi Laurent Boka Rokiatou Kone Aké Lucien Jonathan Yapo Assoumou Lucien Asseke Mouan Beatrice Harding Pierre Breton Bakary Ouattara;Konan Marc Koffi;Ory Opokou Alexandre Demisère;Koffi Laurent Boka;Rokiatou Kone;Aké Lucien Jonathan Yapo;Assoumou Lucien Asseke;Mouan Beatrice Harding;Pierre Breton(Department of Stomatology, Maxillofacial and Plastic Surgery of the Face, The University Hospital of Abidjan, Abidjan, Ivory Coast;Department of Stomatology, Maxillofacial and Plastic Surgery of the Face, The University Hospital of Bouaké, Bouaké, Ivory Coast;Department of Maxillofacial Surgery, Plastic Surgery of the Face and Stomatology, The University Hospital of Lyon-Sud, Lyon, France)

机构地区：[1]Department of Stomatology, Maxillofacial and Plastic Surgery of the Face, The University Hospital of Abidjan, Abidjan, Ivory Coast [2]Department of Stomatology, Maxillofacial and Plastic Surgery of the Face, The University Hospital of Bouaké, Bouaké, Ivory Coast [3]Department of Maxillofacial Surgery, Plastic Surgery of the Face and Stomatology, The University Hospital of Lyon-Sud, Lyon, France

出　　处：《Open Journal of Stomatology》2023年第11期396-402,共7页口腔学期刊（英文）

摘　　要：Leiomyosarcoma is a rare malignant tumour of the lower limbs. Its differential histological diagnosis is difficult and is made in the presence of young scar tissue, leimyoma, dermatofibroma, melanoma, rabdomyosarcoma, sarcomatoid carcinoma, fibroxantoma, Darrier Ferrand dermatofibrosarcoma and myofibroblastic tumours. Treatment is essentially surgical, with margins of 3 to 5 centimetres. We report two observations of tumours localised to the face, including one case of a known leiomyosarcoma and another case initially diagnosed as a leiomyosarcoma which turned out to be a cellular myofibroma with no sign of malignancy after several readings. The aim of this work is to review the literature on this pathology while highlighting the diagnostic and therapeutic difficulties. Conclusion: A rare smooth muscle tumour with a high risk of local recurrence in the event of incomplete treatment, leiomyosarcoma in its dermal component is preferentially located in the head and neck. Its treatment is exclusively surgical and highly mutilating.Leiomyosarcoma is a rare malignant tumour of the lower limbs. Its differential histological diagnosis is difficult and is made in the presence of young scar tissue, leimyoma, dermatofibroma, melanoma, rabdomyosarcoma, sarcomatoid carcinoma, fibroxantoma, Darrier Ferrand dermatofibrosarcoma and myofibroblastic tumours. Treatment is essentially surgical, with margins of 3 to 5 centimetres. We report two observations of tumours localised to the face, including one case of a known leiomyosarcoma and another case initially diagnosed as a leiomyosarcoma which turned out to be a cellular myofibroma with no sign of malignancy after several readings. The aim of this work is to review the literature on this pathology while highlighting the diagnostic and therapeutic difficulties. Conclusion: A rare smooth muscle tumour with a high risk of local recurrence in the event of incomplete treatment, leiomyosarcoma in its dermal component is preferentially located in the head and neck. Its treatment is exclusively surgical and highly mutilating.

关 键 词：Malignant Tumour Smooth Muscle FACE Surgery 

分 类 号：R73[医药卫生—肿瘤]