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VOLUME 6 , ISSUE 2 ( April-June, 2020 ) > List of Articles

CASE REPORT

A Case of Solitary Cutaneous Leiomyoma on the Shoulder, Mimicking a Keloid: Case Presentation

Kanchan Kumawat, Kailash Bhatia

Keywords : Cutaneous leiomyoma, Keloid, Skin biopsy

DOI: 10.5005/jp-journals-10045-00151

License: CC BY-NC 4.0

Published Online: 00-00-0000

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

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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  1. Virchow R. Uber amkroglossie und pathologische neubildung quergestreifter muskelfasern. Virchows Arch Pathol Anat 1854;7(1):126–138. DOI: 10.1007/BF01936233.
  2. Fisher WC, Helwig EB. Leiomyomas of the skin. Arch Dermatol 1963;88(5):510–520. DOI: 10.1001/archderm.1963.01590230018002.
  3. Wolfram D, Tzankov A, Pülzl P, et al. Hypertrophic scars and keloids – a review of their pathophysiology, risk factors, and therapeutic management. Dermatol Surg 2009;35(2):171–181. DOI: 10.1111/j.1524-4725.2008.34406.x.
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