Case Report

Leiomyosarcoma Ex Pleomorphic Adenoma of the Parotid Gland: A Case Report and Literature Review

Table 1

Literature review of eight primary parotid leiomyosarcomas.

StudyAge (years)GenderPresenting symptomsMetastasesTreatmentLocal recurrenceFollowup

[2]59FemaleNot reportedNoneSX, RTNoIn remission 9 years postop.
[3]78MalePainless massNoneSXNoIn remission 5 years postop.
[4]8MalePainless massLungsCRTN/ALost to followup
[5]45FemalePainless massNone reported (only local extension)RTN/AExpired 5 years after presentation. Tumor directly extended into ipsilateral temporal lobe penetrating the orbit, maxillary sinus, zygomatic arch, ethmoid bone, sella turcica, and nares
[6]33FemalePainless massLymph nodes & scalpSX, RTNoIn remission 5 years postop.
[7]17FemalePainful massLymph nodesSX (three times, the last included excision of SCM and block dissection of cervical lymph nodes)ThriceNot reported
[8]44MalePainless massNoneSX, RTNoIn remission 3 years postop.
[9]36MalePainful massLymph nodes & facial nerveSX, CRTNoNot reported

SX: surgical excision; RT: radiation therapy; CRT: chemoradiation; N/A: not applicable.