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Tonsillar leiomyoma

Published online by Cambridge University Press:  29 June 2007

E. Greenberg ,
A. Shupak ,
Judith Kelner  and
W. S. Meyer
E. Greenberg
Affiliation:
Departments of Otolaryngology Lady Davis Carmel Hospital, Haifa, Israel.
A. Shupak*
Affiliation:
Departments of Otolaryngology Lady Davis Carmel Hospital, Haifa, Israel.
Judith Kelner
Affiliation:
Departments of Otolaryngology and Pathology, Lady Davis Carmel Hospital, Haifa, Israel.
W. S. Meyer
Affiliation:
Departments of Otolaryngology Lady Davis Carmel Hospital, Haifa, Israel.
*
Avigdor Shupak, M.D., Otolaryngology Department, Lady Davis Carmel Hospital, 7 Michal Street, Haifa 34362, Israel.
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Abstract

Tumors of smooth muscle origin are rare in the oral cavity. To date, only eighty-three cases of oral leiomyomas have been reported. A first case of tonsillar leiomyoma in a 73-year-old male is presented. The theories of origin and the various histologic types of oral leiomyomas are discussed. Leiomyoma can easily be confused with other spindle-cell tumours. Special stains are necessary to reach a correct diagnosis. It is sometimes difficult to differentiate benign leiomyoma from malignant leiomyosarcoma. The use of mitotic figure count to indicate malignant behaviour is not always reliable. The need for wide surgical excision of the tumour, complete sectioning and examination of the specimen and meticulous follow-up of the patient for evidence of recurrence are emphasized.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 101 , Issue 6 , June 1987 , pp. 619 - 623
Copyright
Copyright © JLO (1984) Limited 1987

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