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Table 1 Summary of previous concurrent cases of leiomyosarcoma and squamous cell carcinoma

From: Kissing tumors; the concurrent diagnosis of leiomyosarcoma and squamous cell carcinoma of the esophagus

Authors and publication year

Location

Patients age and gender

Tumor size (cm)

Case description

Patients outcomes

Dorobisz et al. [11]

Larynx

75 years male

1.4 cm

Moderately differentiated squamous cell carcinoma was involving the subglottic area, the submucosal layer of the glottis on the right side, and the tracheal mucosa. Leiomyosarcoma was found in the subglottic area

To date, the patient has no recurrent lesions

Pongsuvareeyakul et al. [12]

Ovary

65 years female

17

Two distinct components of sarcomatous and invasive epithelial elements found in a mature cystic teratoma of the ovary

Dead due to unrelated cause after 1 month

Jang et al.[6]

Esophagus

72 years male

30 cm

The tumor consisted of pleomorphic spindle cells with mitosis and cell necrosis compatible with leiomyosarcoma

Squamous severe dysplasia and focal stratified squamous epithelial invasion into the lamina propria were also noted compatible with squamous cell carcinoma

Two months' follow up showed no recurrence or distant metastasis

Kara et al. (two cases) [13]

Larynx

50 and 55 years males

Not mentioned

Case one: revealed spindle cell proliferation with mitotic figures. The squamous component of the tumor was well differentiated

Case two: revealed leiomyosarcoma and squamous cell carcinoma on both vocal folds. Histological analysis showed spindle cell proliferation with mitotic figures, and a squamous component of the tumor was well differentiated

Case one: no recurrent lesion at 3 years follow up

Case two: no recurrent lesion at 15-month follow up

Tomidokoro et al. [14]

Larynx

74 years male

left vocal fold was 1.2 × 0.9 × 0.8 cm right vocal fold was 1.2 × 0.8 × 0.7 cm

The left vocal fold tumor was moderate to poorly differentiated SCC

The polypoid tumor of the right vocal fold was diagnosed as LMS

No recurrences at 9-month follow-up

Dios et al. [9]

Oral Cavity

67 years male

1.5 cm on the soft palate and cobblestone area on lateral tongue

Soft palate lesion was diagnosed as LMS, and tongue lesion was diagnosed as SCC

LMS has no recurrence, but tongue SCC recurred at two and 19 months after the first surgery

Eroğlu et al. [15]

Esophagus

46 years male

3 cm

The tumor was composed of spindle cells with eosinophilic cytoplasm and fusiform nuclei organized into bundles. Pleomorphic and giant cells and mitoses were present. Squamous cell carcinoma and leiomyosarcoma combination was reported

No recurrence at 16 months follow up

Gaede et al. [16]

Esophagus

56 years male

8.5 × 6 × 3 cm, second tumor adjacent but distinctly separate was 2 cm mass with similar configuration

The lesion was diagnosed as LMS

The second lesion showed marked atypia of the epithelium's entire thickness, indicating squamous cell carcinoma in situ, with foci of micro invasion

Unknown