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Piloleiomyoma--a report of five cases
A Deshpande1, A Shrivastava, S Bobhate
1Department of Pathology, Government Medical College, Nagpur.
Indian Journal of Pathology & Microbiology
|February 4, 2003
Summary
Piloleiomyomas are rare skin tumors. Accurate diagnosis via biopsy and Masson
Area of Science:
- Dermatology
- Pathology
- Oncology
Background:
- Piloleiomyomas are uncommon smooth muscle neoplasms of the skin.
- Few cases are reported in Indian literature.
- Clinical misdiagnosis is common.
Purpose of the Study:
- To highlight the importance of accurate diagnosis of piloleiomyomas.
- To emphasize the role of biopsy and specific stains in diagnosis.
- To discuss management implications, including surgical recurrence rates.
Main Methods:
- Review of clinical and histological findings.
- Emphasis on the utility of Masson's trichrome stain.
- Discussion of differential diagnoses and management strategies.
Main Results:
- Piloleiomyomas are frequently misdiagnosed clinically.
- Histological examination and Masson's stain are crucial for definitive diagnosis.
- Surgical management is associated with a high rate of recurrence.
Conclusions:
- Accurate pathological diagnosis is essential for appropriate patient management.
- Biopsy with Masson's stain aids in confirming smooth muscle origin.
- Non-surgical management may be preferred due to high surgical recurrence rates.