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Leiomyosarcoma of the tonsil

Published online by Cambridge University Press:  08 June 2011

B F Jones
Affiliation:
Department of ENT and Head and Neck Surgery, Arrowe Park Hospital, Wirral, UK
V Srinivasan*
Affiliation:
Department of ENT and Head and Neck Surgery, Arrowe Park Hospital, Wirral, UK
K Gumparthy
Affiliation:
Department of Histopathology, Arrowe Park Hospital, Wirral, UK
D Hughes
Affiliation:
Department of Radiology, Arrowe Park Hospital, Wirral, UK
*
Address for correspondence: Mr Venkat Srinivasan, Department of ENT and Head and Neck Surgery, Arrowe Park Hospital, Upton CH49 5PE, UK Fax: +44 (0)151 6047103 E-mail: cheenu51@hotmail.com

Abstract

Objective:

We report a case of leiomyosarcoma arising in the tonsil in a 73-year-old man.

Method:

Case report and review of the English language literature (using Pubmed, Ovid and Proquest databases).

Results:

To our knowledge, this is the first case of tonsillar leiomyosarcoma to be reported in the English language literature. Our patient presented with haemoptysis, unilateral odynophagia and an ulcerated, exophytic lesion of the tonsil. Histological examination confirmed the diagnosis of leiomyosarcoma, and the patient was treated with radical radiotherapy.

Conclusion:

Leiomyosarcomas are extremely rare in the head and neck; the common sites of origin are the skin and sinonasal tract. The overall prognosis is poor.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2011

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