Misdiagnosed Uterine Leiomyosarcoma with Metastasis to the Left Condylar Neck - A Case Report.

Q2 Dentistry

Annals of Maxillofacial Surgery Pub Date : 2025-07-01 Epub Date: 2025-12-11 DOI:10.4103/ams.ams_179_24

Ovidiu Ionut Saracutu, Luca Guarda-Nardini, Marco Ferrari, Daniele Manfredini, Matteo Val

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引用次数: 0

Abstract

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.

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误诊子宫平滑肌肉瘤伴左髁颈转移1例。

理由：这是一例转移性平滑肌肉瘤（LMS）病变的髁，引起原发子宫LMS在43岁的妇女。患者关注：患者表现出一种不寻常的临床表现，不能证明是平滑肌瘤。诊断：诊断过程显示患者为子宫LMS，既往误诊为平滑肌瘤，左侧颞下颌关节髁继发转移。治疗：建议手术治疗，病变全切除，腮腺切除术，放化疗辅助治疗。结果：开始治疗一个月后，患者全身状况开始迅速恶化，最终因疾病相关并发症去世。经验教训：考虑到患者表现出的不寻常的临床情况，颞下颌紊乱的指南还应该包括如何筛查和拦截这种可能危及生命的疾病的更好的适应症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Maxillofacial Surgery Medicine-Surgery

CiteScore

1.20

自引率

0.00%

发文量