Abstract
Vascular leiomyoma is a benign solitary smooth muscle tumor that occurs more often in the lower extremity. A 21-year-old white woman presented a well-circumscribed, subcutaneous, solitarym moveable, painless, soft swelling in left cheek for the last 3 years. Previous trauma and past medical and medication histories were noncontributory. No abnormalities in the overlying oral mucosa were seen. Initial diagnosis was lipoma, and other examinations were requested. The ultrasonography image revealed a mass compatible with an accessory parotid with signs suggestive of sialadenitis, and computed tomography revealed a lesion located below the hypodermis anterior to the masseter muscle and the left parotid gland, suggesting salivary gland tumor. Incisional biopsy showed vascular leiomyoma. Surgical extraoral approach included complete excision guided by the topography of the nodule and to reduce the probability of lesion of the buccal branch of the facial nerve. The initial diagnosis was confirmed, and the patient is free of recurrence.
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