[Leiomyosarcoma of the lip]
D Baccouche1, D El Euch, S Haouet
1Service de Dermatologie, Hôpital la Rabta de Tunis, Tunisie. dorabaccouche@lycos.com
Annales De Dermatologie Et De Venereologie
|December 23, 2006
Summary
Superficial leiomyosarcomas are rare skin cancers. This case report details a cutaneous leiomyosarcoma of the lower lip, a rare presentation of this malignant tumor.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Superficial leiomyosarcomas are uncommon malignant neoplasms.
- These tumors can be classified as cutaneous or subcutaneous.
- They originate from smooth muscle tissue.
Observation:
- A 58-year-old male presented with a 3-year history of a lower lip tumor.
- Histopathologic and immunohistochemical analyses were performed.
- The tumor exhibited characteristics of cutaneous leiomyosarcoma.
Findings:
- Cutaneous leiomyosarcoma can arise from various smooth muscle structures, including arrector pili muscles, sudoral glands, and dartos muscles.
- Subcutaneous leiomyosarcomas typically originate from the smooth muscle walls of blood vessels.
- Superficial leiomyosarcomas commonly affect the lower extremities but rarely involve mucosal areas.
Implications:
- Lip cutaneous leiomyosarcoma may arise from ectopic sweat glands or a hypodermal tumor extending to the lip.
- Only five previous cases of lip cutaneous leiomyosarcoma have been documented.
- This case highlights the rare occurrence and potential origins of leiomyosarcoma on the lip.


