title: Leiomyosarcoma of the tonsil.
abstract: OBJECTIVE
  We report a case of leiomyosarcoma arising in the tonsil in a 73-year-old man.
  
  
  METHODS
  Case report and review of the English language literature (using Pubmed, Ovid and Proquest databases).
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors: Department of ENT and Head and Neck Surgery, Arrowe Park Hospital, Wirral, UK.
authors: B F
authors: BF
authors: Jones
authors: V
authors: V
authors: Srinivasan
authors: K
authors: K
authors: Gumparthy
authors: D
authors: D
authors: Hughes
mesh_terms: D000368:Aged; D003680:Deglutition Disorders / Q000209:etiology; D018450:Disease Progression; D006469:Hemoptysis / Q000209:etiology; D006685:Hoarseness / Q000209:etiology; D006801:Humans; D007150:Immunohistochemistry; D007890:Leiomyosarcoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D014066:Palatine Tonsil; D018714:Radiotherapy, Adjuvant; D035583:Rare Diseases; D014057:Tomography, X-Ray Computed; D014067:Tonsillar Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014068:Tonsillectomy