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VOLUME 6 , ISSUE 2 ( April-June, 2020 ) > List of Articles
Kanchan Kumawat, Kailash Bhatia
Keywords : Cutaneous leiomyoma, Keloid, Skin biopsy
Citation Information : Kumawat K, Bhatia K. A Case of Solitary Cutaneous Leiomyoma on the Shoulder, Mimicking a Keloid: Case Presentation. J Med Sci 2020; 6 (2):34-35.
License: CC BY-NC 4.0
Published Online: 01-06-2020
Copyright Statement: Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.
Background: Cutaneous leiomyoma is a rare, benign smooth muscle neoplasm of the skin. According to the origin of the tumor, there are three types of cutaneous leiomyomas: piloleiomyoma, angioleiomyoma, and genital leiomyoma. We present an uncommon case of cutaneous leiomyoma which, due to clinical similarities, had been previously misdiagnosed and managed as keloid. Case description: A 26-year-old woman with Fitzpatrick skin type 4/5 visited the outpatient department of dermatology for the treatment of a painful skin lesion on the left shoulder. The symptoms were not improving from previous treatment modalities, where she was diagnosed as having a keloid. After examination we sent for a skin biopsy. The specimen was sent for histopathological and immunohistochemical investigations, which revealed cutaneous leiomyoma. Conclusion: Cutaneous leiomyoma may be misdiagnosed as a keloid. The former is of clinical relevance as they may denote hereditary leiomyomatosis and renal cell cancer. Early recognition is of paramount importance and may be life-saving.
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