Leiomiosarcoma infiltrante en la lengua / Infiltrating leiomyosarcoma of the tongue

Introducción: La localización de un leiomiosarcoma infiltrante en la lengua es extremadamenterara. Solo se han reportado casos aislados en la literatura.Caso clínico: Hombre de 62 años, fumador, que consulta por una tumoración ulcerada en lalengua de un mes de evolución. Al mes presenta metástasis pulmonares, subcutáneas yóseas. Fallece a los 6 meses con enfermedad diseminada.Discusión: Pensamos que se trató de una metástasis lingual, situación aún más rara que untumor primitivo, con tres casos comunicados en la literatura. El diagnóstico diferencial fueresuelto con técnicas de inmunomarcación(AU)

Introduction: Leiomyosarcoma of the tongue, is extremely rare and poorly documented inthe literature.Case report: We present the case of a 62-year-old male who consult with an ulcerated massin the oral tongue. The lesion had an evolution of one month. Surgical biopsy wasperformed. Six months later the patient died with multiple metastases.Discusion: We thought that was a lingual metastase, situation even rarer that a primitivetumor, with three cases communicated in literature. Definitive diagnosis was facilitated byimmunohistochemical techniques(AU)

Chinese flap in head and neck surgery.

Twenty patients underwent resections for head and neck cancer. The reconstructive procedure used was the free forearm flap with microsurgical technique on 22 occasions. The free forearm flap was used in its simple or composite form, with double or manifold islands, with a segment of the radius for mandible reconstruction or with two islands joined solely by the vascular pedicle, constituting what the authors call "tandem flap", with excellent results. The procedure does not replace conventional ones, but the authors believe it should be regarded as one of the choice flaps by surgeons dedicated to this special field.