Liang H, Frederiksen N L, Binnie W H, Cheng Y S
Department of Diagnostic Sciences, Baylor College of Dentistry, Texas A&M University System Health Science Center, Dallas, Texas 7526-0677, USA.
Dentomaxillofac Radiol. 2003 Sep;32(5):285-90. doi: 10.1259/dmfr/22632903.
The objectives of this study were to report one case of intraosseous oral leiomyoma and to systematically review the English literature.
The clinical and radiographic findings of a patient who presented with intraosseous oral leiomyoma were recorded. In addition, 11 references from the English literature that reported 12 patients were reviewed.
Thirteen patients (age range 8 months to 71 years; mean 36 years, median 25 years) were reported to present with intraosseous oral leiomyoma. After excluding one patient whose sex was not reported, there were five female patients (42%) and seven males (58%). The majority of patients presented with either no symptoms or with an asymptomatic swelling. Eleven of 13 lesions occurred in the mandible; the most common site was the posterior of the jaw. Radiographically, intraosseous oral leiomyoma was found to present as either a unilocular or multilocular radiolucency with either well defined or ill defined borders and frequent cortical involvement.
Intraosseous oral leiomyoma was found to occur in the mandibular posterior region of relatively young patients, with cortical involvement and a slight male gender preference. Surgical excision was the treatment of choice and no recurrence has been encountered.
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