Leiomyoma of maxillary sinus-nasal cavity A case report
Kassiani KAKAVA, Andrianos-Serafeim TZORTZIS, Simeon TSINTZOS, George TZORTZIS
General Hospital of Tripolis, Greece, Department of Oral and Maxillofacial Surgery (Head: George Tzortzis)
Hellenic Archives of Oral & Maxillofacial Surgery (2018) 3, 159-166
SUMMARY: The leiomyoma is a benign tumor which arises from the smooth muscle fibers, and it is usually located in the gastrointestinal tract and the urinary tract, and a lot less in the upper respiratory tract. The leiomyoma of the maxillary sinus – nasal cavity is a rare neoplasm, which is seen in adults and with a female predominance. It occurs either as a polyp or mass which can occupy the maxillary sinus, the nasal cavity, or both together. It can cause nasal obstruction, epistaxis and even atypical facial pain. We report a case of a leiomyoma of the maxillary sinus –nasal cavity, who presented with reported toothache, edema in the ipsilateral cheek, exophthalmos, and reduced movement of the ipsilateral eye. The diagnostic approach and the treatment of the maxillary sinus – nasal cavity are also discussed in this case report.
KEY WORDS: maxillary sinus, nasal cavity, leiomyoma, benign tumor
REFERENCES
Campelo VE, Neves MC, Nakanishi M, Voegels RL: Nasal cavity vas- cular leiomyoma: case report and literature review. Braz J Otorhi- nolaryngol 74:147–50, 2008.
Duhig JT, Ayer JP: Vascular leiomyoma: a study of sixty-one cases. Arch Pathol 68:424–430, 1959.
Fanburg-Smith JC, Lasota J, Auerbach A, Foss RD, Laskin WB, Murphey MD: Tumors and Tumor-Like Lesions of the Soft Tissues, In Barens L.:Surgical pathology of the head and neck, vol2, 3rd edi- tion, informa healthcare, pp. 802-806.
Fanburg-Smith JC, Thompson LDR: Tumors of the nasal cavity and paranasal sinuses, In: Barnes, Eveson, Reichart, Sidransky: Pathol- ogy and Genetics Head and Neck Tumors IARC Press, 2005, pp 46.
Farman AG, Kay S: Oral leiomyosarcoma. Report of a case and review of the literature pertaining to smooth-muscle tumors of the oral cavity. Oral Surg Oral Med Oral Pathol Oral Radio Endod 43:402- 409,1977.
Gündüz Κ, Günalp I, Erden E, Erekul S: Orbital Leiomyoma: Report of a Case and Review of the Literature. Surv Opthalmol 49(2):237- 42, 2004.
Huang HY, Antonescu CR: Sinonasal Smooth Muscle Cell Tumors A Clinicopathologic and Immunohistocemical Analysis of 12 Cases With Emphasis on the Low- Grade End of the Spectrum. Arch Pathol Lab Med 127:297-304, 2003.
Lijovetzky G, Zaarura S, Gay I: Leiomyoma of the nasal cavity: report of a case. J Laryngol Otol 99:197-200, 1985.
Marioni G, Marchese-Ragona R, Fernandez S, Bruzon J, Marino F, Staffieri A: Progesterone receptor expression in angioleiomyoma of the nasal cavity. Acta Otolaryngol 122:408–12, 2002.
Mills SE, Gaffrey MJ, Fierson HF: Tumors of Upper Aerodigestive Tract. Washington, DC: Armed Forces Institute of Pathology; 2000:251-
258. Atlas of Tumor Pathology: 3rd series, fascicle 26.
Neville BW, Damm Dd, Allen CM, Bouquot JE: Leiomyoma. In Oral and Maxillofacial Pathology. WB Saunders Company; 1995, pp397-399. Nicolai P, Radaelli de Zinis LO, Facchetti F, Maroldi R, Antonelli AR: Craniofacial resection for vascular leiomyoma of the nasal cavity. Am J Otolaryngol 17: 240–4,1996.
Τrott MS, Gewirtz A, Wood BG, Sebek BA: Sinonasal leiomyomas. Otolaryngol Head Neck Surg 111: 660-664, 1994.
Tseng PY, Lai YS, Chen MK, Shen KH: Progesterone receptor expres- sion in sinonasal leiomyoma: a case report and review of the lit- erature. Int J Clin Exp Pathol 7(3): 1224-8, 2014.
Vafiadis M, Kantas I, Panopoulou M, Sivridis E, Exarchakos G : Vascular leiomyoma of the nasal vestibule. Case report and literature re- view. B-ENT 4: 105–10, 2008.
Veeresh Μ, Sudhakara Μ, Girish G, Naik C: Leiomyoma: A rare tumor in the head and neck and oral cavity: Report of 3 cases with re- view. J Oral Maxillofac Pathol 17(2): 281–287, 2013.
Yang BT, Wang ZC, Xian JF, Hao DP, Chen QH: Leiomyoma of the sinonasal cavity: CT and MRI findings. Clin Radiol 64:1203–9, 2009
General Hospital of Tripolis, Greece, Department of Oral and Maxillofacial Surgery (Head: George Tzortzis)
Hellenic Archives of Oral & Maxillofacial Surgery (2018) 3, 159-166
SUMMARY: The leiomyoma is a benign tumor which arises from the smooth muscle fibers, and it is usually located in the gastrointestinal tract and the urinary tract, and a lot less in the upper respiratory tract. The leiomyoma of the maxillary sinus – nasal cavity is a rare neoplasm, which is seen in adults and with a female predominance. It occurs either as a polyp or mass which can occupy the maxillary sinus, the nasal cavity, or both together. It can cause nasal obstruction, epistaxis and even atypical facial pain. We report a case of a leiomyoma of the maxillary sinus –nasal cavity, who presented with reported toothache, edema in the ipsilateral cheek, exophthalmos, and reduced movement of the ipsilateral eye. The diagnostic approach and the treatment of the maxillary sinus – nasal cavity are also discussed in this case report.
KEY WORDS: maxillary sinus, nasal cavity, leiomyoma, benign tumor
REFERENCES
Campelo VE, Neves MC, Nakanishi M, Voegels RL: Nasal cavity vas- cular leiomyoma: case report and literature review. Braz J Otorhi- nolaryngol 74:147–50, 2008.
Duhig JT, Ayer JP: Vascular leiomyoma: a study of sixty-one cases. Arch Pathol 68:424–430, 1959.
Fanburg-Smith JC, Lasota J, Auerbach A, Foss RD, Laskin WB, Murphey MD: Tumors and Tumor-Like Lesions of the Soft Tissues, In Barens L.:Surgical pathology of the head and neck, vol2, 3rd edi- tion, informa healthcare, pp. 802-806.
Fanburg-Smith JC, Thompson LDR: Tumors of the nasal cavity and paranasal sinuses, In: Barnes, Eveson, Reichart, Sidransky: Pathol- ogy and Genetics Head and Neck Tumors IARC Press, 2005, pp 46.
Farman AG, Kay S: Oral leiomyosarcoma. Report of a case and review of the literature pertaining to smooth-muscle tumors of the oral cavity. Oral Surg Oral Med Oral Pathol Oral Radio Endod 43:402- 409,1977.
Gündüz Κ, Günalp I, Erden E, Erekul S: Orbital Leiomyoma: Report of a Case and Review of the Literature. Surv Opthalmol 49(2):237- 42, 2004.
Huang HY, Antonescu CR: Sinonasal Smooth Muscle Cell Tumors A Clinicopathologic and Immunohistocemical Analysis of 12 Cases With Emphasis on the Low- Grade End of the Spectrum. Arch Pathol Lab Med 127:297-304, 2003.
Lijovetzky G, Zaarura S, Gay I: Leiomyoma of the nasal cavity: report of a case. J Laryngol Otol 99:197-200, 1985.
Marioni G, Marchese-Ragona R, Fernandez S, Bruzon J, Marino F, Staffieri A: Progesterone receptor expression in angioleiomyoma of the nasal cavity. Acta Otolaryngol 122:408–12, 2002.
Mills SE, Gaffrey MJ, Fierson HF: Tumors of Upper Aerodigestive Tract. Washington, DC: Armed Forces Institute of Pathology; 2000:251-
258. Atlas of Tumor Pathology: 3rd series, fascicle 26.
Neville BW, Damm Dd, Allen CM, Bouquot JE: Leiomyoma. In Oral and Maxillofacial Pathology. WB Saunders Company; 1995, pp397-399. Nicolai P, Radaelli de Zinis LO, Facchetti F, Maroldi R, Antonelli AR: Craniofacial resection for vascular leiomyoma of the nasal cavity. Am J Otolaryngol 17: 240–4,1996.
Τrott MS, Gewirtz A, Wood BG, Sebek BA: Sinonasal leiomyomas. Otolaryngol Head Neck Surg 111: 660-664, 1994.
Tseng PY, Lai YS, Chen MK, Shen KH: Progesterone receptor expres- sion in sinonasal leiomyoma: a case report and review of the lit- erature. Int J Clin Exp Pathol 7(3): 1224-8, 2014.
Vafiadis M, Kantas I, Panopoulou M, Sivridis E, Exarchakos G : Vascular leiomyoma of the nasal vestibule. Case report and literature re- view. B-ENT 4: 105–10, 2008.
Veeresh Μ, Sudhakara Μ, Girish G, Naik C: Leiomyoma: A rare tumor in the head and neck and oral cavity: Report of 3 cases with re- view. J Oral Maxillofac Pathol 17(2): 281–287, 2013.
Yang BT, Wang ZC, Xian JF, Hao DP, Chen QH: Leiomyoma of the sinonasal cavity: CT and MRI findings. Clin Radiol 64:1203–9, 2009
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