Superficial leiomyosarcoma of the face in a human immunodeficiency virus infected albino

---

Résumé

Introduction : Superficial leiomyosarcoma is a skin neoplasm of smooth muscle origin. It is commonly seen on the extremities,
and it rarely affects the face. This is a presentation of a clinical case of superficial leiomyosarcoma in a human immunodeficiency
virus (HIV) infected patient with albinism, and the treatment carried out with its evolution.
Observation : A 47 years-old albino woman with an HIV infection presented with a recurrent skin tumour of the face. The
symptomatology was non-specific. The treatment consisted on a healthy margin surgical resection, and a reconstruction
with a local bilobed pedicled flap. The histopathological and immunohistochemical analysis were in favour of a superficial
leiomyosarcoma, and permit to confirm the surgical margins. The follow-up of the patient was favourable with no recurrence
after 22 months.
Conclusion : Superficial leiomyosarcoma is a differential diagnosis to take into consideration in front of a clinically suspected
malignant skin tumour of the face. With albinism and HIV infection, two major risk factors of skin neoplasms, oral and
maxillofacial surgeons should be aware of this. Its treatment is essentially surgical, with good results over time

Mots-clés

face, leiomyosarcoma, neoplasm, resection, spindle cell