Large primary leiomyoma causing progressive cervical deformity. (25th November 2016)

• Record Type: Journal Article
• Authors: Al-Habib, Amro; Elgamal, Essam A.; Aldhahri, Saleh; Alokaili, Riyadh; AlShamrani, Rami; Abobotain, Abdulaziz; AlRaddadi, Khulood; Alkhalidi, Hisham
• Is Part Of: Journal of surgical case reports. Number 11(2016:Nov.)
• Publication Date: 2016-11-25
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjw190
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Leiomyomas are benign smooth tumors that rarely affect the neck area. Complete surgical resection is the treatment of choice. Here, we describe a 13-year-old girl with a large leiomyoma of the neck, which increased in size after incomplete resection. The tumor caused progressive cervical kyphotic deformity, difficulty breathing and severe malnourishment. The tumor was resected successfully in a second surgery, and the patient is stable after 3 years of follow-up. Histopathologically, the tumor was consistent with leiomyoma and showed strong reactivity to specific smooth muscle markers, such as desmin and caldesmon. This is the second reported case demonstrating massive growth of a leiomyoma, with emphasis on complete resection from the beginning.