Temporalis muscle metastasis of the uterine leiomyosarcoma: a case report

Leiomyosarcomas are malignant tumors of smooth muscle origin. These tumors are very rare in the head and neck region. The majority of leiomyosarcomas of the head and neck arise in the paranasal sinuses, oral cavity, jaws and superficial soft tissues like the scalp. A mass was observed in the right t...

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Veröffentlicht in:Turkish neurosurgery 2008-04, Vol.18 (2), p.215-218
Hauptverfasser: Aslan, Erhan, Kuzeyli, Kayhan, Cakir, Ertuğrul, Reis, Abdülkadir
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creator Aslan, Erhan
Kuzeyli, Kayhan
Cakir, Ertuğrul
Reis, Abdülkadir
description Leiomyosarcomas are malignant tumors of smooth muscle origin. These tumors are very rare in the head and neck region. The majority of leiomyosarcomas of the head and neck arise in the paranasal sinuses, oral cavity, jaws and superficial soft tissues like the scalp. A mass was observed in the right temporoparietal region of the scalp of a 76-year-old female. Two years before presentation, the patient was operated for primary uterine leiomyosarcoma. Over the ensuing years, the mass substantially increased in size. Radiologic findings revealed a mixed density mass of the right temporalis muscle. Histologic and immunohistochemical examination of the tumor showed a malignant mesenchymal neoplasm consisting of spindle-shaped atypical mesenchymal cells with marked pleomorphism and central cigar shaped nuclei arranged in fascicles. We report a rare case of uterine leiomyosarcoma metastatic to the temporalis muscle, proven by histopathology.
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subjects Aged
Combined Modality Therapy
Female
Head and Neck Neoplasms - radiotherapy
Head and Neck Neoplasms - secondary
Head and Neck Neoplasms - surgery
Humans
Leiomyosarcoma - radiotherapy
Leiomyosarcoma - secondary
Leiomyosarcoma - surgery
Muscle, Skeletal - pathology
Scalp - pathology
Uterine Neoplasms - pathology
title Temporalis muscle metastasis of the uterine leiomyosarcoma: a case report
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