Primary Cervical Leiomyoma with Remarkable Calcification and Ossification
Joint Authors
Katoh, Ryohei
Yonaga, Takaaki
Masuyama, Keisuke
Yamanishi, Takahiro
Oishi, Naoki
Sakamoto, Kaname
Watanabe, Hiroyuki
Source
Case Reports in Otolaryngology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-18
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We encountered a patient with primary cervical leiomyoma with remarkable calcification and ossification.
A 68-year-old man presenting with induration and swelling of the left submandibular region was found to have nodular lesions with calcifications in the left submandibular region and the upper mediastinum on CT.
Fine needle aspiration biopsies (FNAB) of the left submandibular lesion revealed no malignancy.
Resection was performed for definitive diagnosis and treatment.
The resected specimen contained a solid tumor, which was markedly calcified and ossified on the cut surface.
Histopathological examination showed proliferating spindle cells in a tangled and crossed arrangement.
Immunohistochemically, the spindle cells were stained intensely with α-SMA and h-caldesmon, consistent with smooth muscle cells.
These findings led to a definitive diagnosis of leiomyoma with calcification and ossification.
This is extremely rare and the preoperative differentiation from other tumors of the head and neck was very difficult.
By resection of the submandibular tumor, both definitive diagnosis of leiomyoma by histopathological and immunohistochemical analyses and treatment could be carried out.
However, as the tumor in the upper mediastinum was most likely to be leiomyoma with calcification, he did not wish to undergo its biopsy and resection immediately.
We have continued the follow-up.
American Psychological Association (APA)
Yamanishi, Takahiro& Sakamoto, Kaname& Watanabe, Hiroyuki& Yonaga, Takaaki& Oishi, Naoki& Katoh, Ryohei…[et al.]. 2014. Primary Cervical Leiomyoma with Remarkable Calcification and Ossification. Case Reports in Otolaryngology،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-506258
Modern Language Association (MLA)
Yamanishi, Takahiro…[et al.]. Primary Cervical Leiomyoma with Remarkable Calcification and Ossification. Case Reports in Otolaryngology No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-506258
American Medical Association (AMA)
Yamanishi, Takahiro& Sakamoto, Kaname& Watanabe, Hiroyuki& Yonaga, Takaaki& Oishi, Naoki& Katoh, Ryohei…[et al.]. Primary Cervical Leiomyoma with Remarkable Calcification and Ossification. Case Reports in Otolaryngology. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-506258
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-506258