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Cutaneous Leiomyosarcoma of the Face
Nam Gyun Kim1, Jun Oh Kim1, Young Ji Park1
1Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine and Hospital, Gyeongsang National University, Jinju, Korea.
Archives of Craniofacial Surgery
|September 16, 2017
Summary
Cutaneous leiomyosarcoma is a rare soft tissue sarcoma. This case highlights its occurrence on a female patient's cheek, emphasizing the need for accurate diagnosis through immunohistochemistry.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Cutaneous leiomyosarcoma (CLS) is a rare superficial soft tissue sarcoma.
- It predominantly affects middle-aged to elderly males, typically on the extremities.
- Facial involvement is infrequent, posing diagnostic challenges.
Purpose of the Study:
- To report a rare case of CLS on the face.
- To emphasize the importance of differential diagnosis from other spindle cell neoplasms.
- To highlight the role of immunohistochemistry in accurate diagnosis.
Main Methods:
- Case report of a 73-year-old female patient.
- Clinical presentation of a lesion on the left cheek.
- Diagnostic process involving biopsy and immunohistochemistry.
- Pre-operative suspicion of malignant melanoma.
Main Results:
- The patient presented with a rapidly growing lesion on the left cheek.
- Initial suspicion was malignant melanoma.
- Histopathological examination and immunohistochemistry confirmed cutaneous leiomyosarcoma.
- Surgical excision is the primary treatment modality.
Conclusions:
- CLS can occur rarely on the face, even in elderly females.
- Distinguishing CLS from other spindle cell tumors is crucial.
- Immunohistochemistry is essential for definitive diagnosis and appropriate treatment planning.
