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Leiomyosarcoma of the mouth: two case report. Histochemical and immunohistochemical techniques

Leiomyosarcomas are malign neoplasms arising in the smooth muscle. The occurrence in the oral region, since its scarcity in this particular anatomical site, requests the utilization of special techniques for the diagnostic establishment. Here the authors relate two cases of this uncommon pathology. After the incisional biopsy and histological analysis the specimens were submitted to the histochemical technique of Masson's Tricrome to confirm the muscular origin of the tumors. Both cases confirmed the origin, but in one the staining pattern was not so clear, generating some doubts about the diagnosis. For this reason, the immunohistochemical analysis was performed utilizing antibodies anti vimentin, SMA, S100, CD34, CD68, XIIIA and AE1/AE3. Both cases showed positivity to vimentin and SMA, confirming the smooth muscle origin and the diagnosis.

Leiomyosarcoma; Oral sarcomas; Histochemistry; Immunohistochemistry


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