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Misdiagnosed Uterine Leiomyosarcoma with Metastasis to the Left Condylar Neck - A Case Report
Ovidiu Ionut Saracutu1, Luca Guarda-Nardini2, Marco Ferrari1
1Department of Medical Biotechnologies, School of Dentistry University of Siena, Siena, Italy.
Rationale:
This is a case of metastatic leiomyosarcoma (LMS) lesion of the condyle arising from a primary LMS of the uterus in a 43-year-old woman.
Patient Concern:
The patient presented an uncommon clinical manifestation not justified by the presence of a leiomyoma.
Diagnosis:
The diagnostic process revealed that the patient was affected by uterine LMS, previously misdiagnosed as a leiomyoma, with a secondary metastasis of the left temporomandibular joint condyle.
Treatment:
Surgery was proposed with total excision of the lesion and parotidectomy, together with radiotherapy and chemotherapy as adjuvant therapy.
Outcome:
One month after the start of the treatment, the systemic condition of the patient started to quickly worsen, and she passed away due to complications associated with the disease.
Take-Away Lessons:
Given the uncommon clinical scenario that the patient presented, guidelines for temporomandibular disorder should also include better indications on how to screen and intercept such possible life-threatening conditions.