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Angioleiomyoma of the oral cavity: a case report and brief review of the literature

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2018, v.44 no.3, pp.136-139
Apostolos Matiakis (Aristotle University of Thessaloniki)
Panagiotis Karakostas (Aristotle University of Thessaloniki)
Achilleia-Maria Pavlou (Aristotle University of Thessaloniki)
Eleftherios Anagnostou (Aristotle University of Thessaloniki)
Athanasios Poulopoulos (Aristotle University of Thessaloniki)

Abstract

This study presents a case of an oral angioleiomyoma along with its clinical diagnostic approach and laboratory confirmation. The differential diagnosis, especially from angioleiomyosarcoma, is also included. A 51-year-old patient presented with a tumor-like lesion on his upper labial mucosa. The clinical examination revealed a benign lesion that was surgically removed. Histopathological and immunohistochemical examinations confirmed the diagnosis of an oral angioleiomyoma. The post-surgical period was uneventful. No recurrence had occurred after a year of follow-up surveillance. Oral angioleiomyoma is a very rarely occurring oral lesion. Clinically, it may mimic some benign lesions, including fibroma, pyogenic granuloma or minor salivary gland tumor. Surgical excision is the treatment of choice. Histological and immunohistochemical examination can confirm the diagnosis. The differential diagnosis is crucial to rule out angioleiomyosarcoma.

keywords
Oral angioleiomyoma, Oral vascular leiomyoma, Oral leiomyoma

Journal of the Korean Association of Oral and Maxillofacial Surgeons