°í¿µÀÏ(Ko Young-Il) - Catholic University College of Medicine St. Vincent¡¯s Hospital Department of Plastic and Reconstructive Surgery
ÀÓÁø¼ö(Lim Jin-Soo) - Catholic University College of Medicine St. Vincent¡¯s Hospital Department of Plastic and Reconstructive Surgery
ÇѱâÅÃ(Han Ki-Taik) - Catholic University College of Medicine St. Vincent¡¯s Hospital Department of Plastic and Reconstructive Surgery
±è¹Îö(Kim Min-Cheol) - Catholic University College of Medicine St. Vincent¡¯s Hospital Department of Plastic and Reconstructive Surgery
Abstract
Leiomyosarcoma is a rare form of soft tissue neoplasm, with only 1% to 5% occurring in the head and neck region. Current recommended treatment suggests surgical excision with a wide lateral margin, but no definite guidelines regarding excisional margin have been established yet. Recently, complete excision with a narrow surgical margin has been recommended, and the authors present a case of cutaneous leiomyosarcoma on the face that was successfully managed by complete removal with a narrow excisional margin. A 74-year-old woman presented with a 3 cm sized, rapidly growing cutaneous mass on her right preauricular area. Preoperative biopsy of the skin lesion suggested a cutaneous leiomyosarcoma. The authors performed complete surgical excision with a 1 cm lateral margin, and the resulting skin defect was repaired with bilateral V-Y advancement local flaps. Histopathology and immunohistochemistry evaluation confirmed a moderately differentiated cutaneous leiomyosarcoma, with negative margin involvement. The patient refused of any additional treatment, but showed no locoregional recurrence during the 1.5 years of postoperative follow-up period. With a regular postoperative follow-up, cutaneous leiomyosarcomas may be successfully treated with a narrow surgical margin.
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Leiomyosarcoma, Cutaneous
KMID :
1033720140150010036
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