title: Large primary leiomyoma causing progressive cervical deformity.
abstract: Leiomyomas are benign smooth tumors that rarely affect the neck area. Complete surgical resection is the treatment of choice. Here, we describe a 13-year-old girl with a large leiomyoma of the neck, which increased in size after incomplete resection. The tumor caused progressive cervical kyphotic deformity, difficulty breathing and severe malnourishment. The tumor was resected successfully in a second surgery, and the patient is stable after 3 years of follow-up. Histopathologically, the tumor was consistent with leiomyoma and showed strong reactivity to specific smooth muscle markers, such as desmin and caldesmon. This is the second reported case demonstrating massive growth of a leiomyoma, with emphasis on complete resection from the beginning.
authors.affiliation: Division of Neurosurgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia amro.alhabib@gmail.com.
authors.forename: Amro
authors.initials: A
authors.lastname: Al-Habib
authors.affiliation: Neurosurgery Division, Surgery Institute, Sheikh Khalifa Medical City, Abu Dhabi, UAE.
authors.forename: Essam A
authors.initials: EA
authors.lastname: Elgamal
authors.affiliation: Department of Otolaryngology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Saleh
authors.initials: S
authors.lastname: Aldhahri
authors.affiliation: Department of Radiology, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.
authors.forename: Riyadh
authors.initials: R
authors.lastname: Alokaili
authors.affiliation: Division of Neurosurgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Rami
authors.initials: R
authors.lastname: AlShamrani
authors.affiliation: Division of Neurosurgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Abdulaziz
authors.initials: A
authors.lastname: Abobotain
authors.affiliation: Division of Neurosurgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Khulood
authors.initials: K
authors.lastname: AlRaddadi
authors.affiliation: Department of Pathology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Hisham
authors.initials: H
authors.lastname: Alkhalidi