Objectives@#
Leiomyosarcoma is a
malignant neoplasm that
affects smooth muscle tissue and it is very rare in the field of oral and maxillofcial
surgery.The purpose of this study was to obtain information on
diagnosis of and
treatment methods for
leiomyosarcoma by retrospectively reviewing of the cases. @*
Patients and
Methods@#The study included nine
patients who were diagnosed with
leiomyosarcoma in the Department of Oral and
Maxillofacial Surgery at
Seoul National
University Dental
Hospital. The subjects were analyzed with
respect to
sex, age, clinical features, primary site of
disease,
treatment method,
recurrence, and
metastasis. @*Results@#Particular clinical features included
pain,
edema,
mouth-opening limitations,
dysesthesia, and enlarged
lymph nodes. All cases except one were surgically treated, and
recurrence was found in two cases. Four of nine
patients were followed up without
recurrence and one
patient underwent additional
surgery due to
recurrence. @*Conclusion@#In our case series, notable symptoms included
pain,
edema,
mouth-opening limitations, and
dysesthesia; however, it was difficult to label these as specific symptoms of
leiomyosarcoma. Considering the aggressive characteristics of the
disease and poor
prognosis, surgical
treatment is necessary with careful consideration of postoperative
radiotherapy and
chemotherapy.