Author(s)

Bakary Ouattara¹, Konan Marc Koffi^1*, Ory Opokou Alexandre Demisère², Koffi Laurent Boka¹, Rokiatou Kone¹, Aké Lucien Jonathan Yapo¹, Assoumou Lucien Asseke¹, Mouan Beatrice Harding¹, Pierre Breton³

¹Department of Stomatology, Maxillofacial and Plastic Surgery of the Face, The University Hospital of Abidjan, Abidjan, Ivory Coast.
²Department of Stomatology, Maxillofacial and Plastic Surgery of the Face, The University Hospital of Bouaké, Bouaké, Ivory Coast.
³Department of Maxillofacial Surgery, Plastic Surgery of the Face and Stomatology, The University Hospital of Lyon-Sud, Lyon, France.

Leiomyosarcoma is a rare malignant tumour of the lower limbs. Its differential histological diagnosis is difficult and is made in the presence of young scar tissue, leimyoma, dermatofibroma, melanoma, rabdomyosarcoma, sarcomatoid carcinoma, fibroxantoma, Darrier Ferrand dermatofibrosarcoma and myofibroblastic tumours. Treatment is essentially surgical, with margins of 3 to 5 centimetres. We report two observations of tumours localised to the face, including one case of a known leiomyosarcoma and another case initially diagnosed as a leiomyosarcoma which turned out to be a cellular myofibroma with no sign of malignancy after several readings. The aim of this work is to review the literature on this pathology while highlighting the diagnostic and therapeutic difficulties. Conclusion: A rare smooth muscle tumour with a high risk of local recurrence in the event of incomplete treatment, leiomyosarcoma in its dermal component is preferentially located in the head and neck. Its treatment is exclusively surgical and highly mutilating.

Malignant Tumour, Smooth Muscle, Face, Surgery

Ouattara, B. , Koffi, K. , Demisère, O. , Boka, K. , Kone, R. , Yapo, A. , Asseke, A. , Harding, M. and Breton, P. (2023) Primary Cutaneous Leiomyosarcoma of the Face: A Rare Tumor that Is Difficult to Diagnose. Open Journal of Stomatology, 13, 396-402. doi: 10.4236/ojst.2023.1311032.