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Dentomaxillofacial Radiology (2003) 32, 285-290
© 2003 British Institute of Radiology
doi: 10.1259/dmfr/22632903

SYSTEMATIC REVIEW

Intraosseous oral leiomyoma: systematic review and report of one case

H Liang*,1, NL Frederiksen1, WH Binnie2 and YS Cheng2

1 Department of Diagnostic Sciences, Division of Oral and Maxillofacial Radiology, Baylor College of Dentistry, Texas A&M University System Health Science Center, Dallas, Texas, USA; 2 Department of Diagnostic Sciences, Division of Oral Pathology, Baylor College of Dentistry, Texas A&M University System Health Science Center, Dallas, Texas, USA

*Correspondence to: Dr Hui Liang, Department of Diagnostic Sciences, Baylor College of Dentistry, PO Box 660677, Dallas, TX 75266-0677, USA; Email: hliang{at}tambcd.edu

Received 23 June 2003; revised 10 September 2003; accepted 11 September 2003

Objectives: The objectives of this study were to report one case of intraosseous oral leiomyoma and to systematically review the English literature.

Methods: 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.

Results: 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.

Conclusions: 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.

Keywords: leiomyoma; maxillary neoplasms; mandibular neoplasms






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