상악동에 발생한 평활근 육종의 치험례
LEIOMYOSARCOMA OF THE MAXILLARY SINUS : A CASE REPORT
최세경, 김재영, 김소미, 김현우, 남정우, 남웅, 차인호, 김형준,
소속 상세정보
최세경 ( Choi Se-Kyung ) - 연세대학교 치과대학 구강악안면외과학교실
김재영 ( Kim Jae-Young ) - 연세대학교 치과대학 구강악안면외과학교실
김소미 ( Kim So-Mi ) - 연세대학교 치과대학 구강악안면외과학교실
김현우 ( Kim Hyun-Woo ) - 연세대학교 치과대학 구강악안면외과학교실
남정우 ( Nam Jung-woo ) - 연세대학교 치과대학 구강악안면외과학교실
남웅 ( Nam Woong ) - 연세대학교 치과대학 구강악안면외과학교실
차인호 ( Cha In-Ho ) - 연세대학교 치과대학 구강악안면외과학교실
김형준 ( Kim Hyung-Jun ) - 연세대학교 치과대학 구강악안면외과학교실
KMID : 0355620090350060490
Abstract
Leiomyosarcoma(LMS) is a malignant neoplasm of smooth muscle origin, which accounts for 7 % of all soft tissue sarcomas. The most common sites are the gastrointestinal tract and female genital tract. In contrast, primary LMS of the oral and maxillofacial area is rare due to the paucity of smooth muscle in this region. Especially, LMS of the paranasal sinuses is very rare and has an aggressive clinical behavior. Only 28 cases have been described in the english literature, and of these, only 3 patients treated with surgery had a disease-free survival. A 46-year-old woman came to our department for the evaluation of pain on right midface. After a diagnostic work-up, the lesion was diagnosed as LMS of the right maxillary sinus. The radical surgery was done and chemotherapy combined radiotherapy was followed from post operation 1 month. The patient was disease free at post-operation 1 year. We will report this case with literature review.
키워드
Leimyosarcoma;Maxillary sinus;Paranasal sinus;Chemotherapy
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