Jones B F, Srinivasan V, Gumparthy K, Hughes D
Department of ENT and Head and Neck Surgery, Arrowe Park Hospital, Wirral, UK.
J Laryngol Otol. 2011 Aug;125(8):869-72. doi: 10.1017/S0022215111001290. Epub 2011 Jun 8.
We report a case of leiomyosarcoma arising in the tonsil in a 73-year-old man.
Case report and review of the English language literature (using Pubmed, Ovid and Proquest databases).
To our knowledge, this is the first case of tonsillar leiomyosarcoma to be reported in the English language literature. Our patient presented with haemoptysis, unilateral odynophagia and an ulcerated, exophytic lesion of the tonsil. Histological examination confirmed the diagnosis of leiomyosarcoma, and the patient was treated with radical radiotherapy.
Leiomyosarcomas are extremely rare in the head and neck; the common sites of origin are the skin and sinonasal tract. The overall prognosis is poor.
我们报告一例73岁男性扁桃体平滑肌肉瘤病例。
病例报告并回顾英文文献（使用PubMed、Ovid和ProQuest数据库）。
据我们所知，这是英文文献中首例报告的扁桃体平滑肌肉瘤病例。我们的患者表现为咯血、单侧吞咽痛以及扁桃体溃疡、外生性病变。组织学检查确诊为平滑肌肉瘤，患者接受了根治性放疗。
平滑肌肉瘤在头颈部极为罕见；常见起源部位是皮肤和鼻窦道。总体预后较差。
