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Cutaneous leiomyoma in a child: A case report
Nursel Dilek1, Derya Yüksel, Ibrahim Sehitoğlu
1Departments of Dermatology, Recep Tayyip Erdoğan University Medical Faculty Hospital, Rize 53000, Turkey.
Oncology Letters
|April 20, 2013
Summary
Pilar leiomyoma, a rare skin tumor in children, presents as multiple masses. Early diagnosis through clinical assessment and biopsy is crucial for effective treatment of this benign smooth muscle neoplasm.
Area of Science:
- Dermatology
- Pediatric Oncology
- Pathology
Background:
- Cutaneous leiomyomas, rare benign tumors originating from arrector pili muscles, typically affect adults.
- While uncommon in children, leiomyomas can manifest as cutaneous or mucosal masses.
Purpose of the Study:
- To report a rare case of pilar leiomyoma in a pediatric patient.
- To emphasize the importance of considering leiomyoma in the differential diagnosis of pediatric skin lesions.
Main Methods:
- Clinical presentation of multiple firm, red-brown back masses in a 10-year-old female.
- Diagnostic punch biopsy with histopathological examination revealing spindle cells.
- Immunohistochemical analysis confirming smooth muscle actin (SMA) positivity.
Main Results:
- Histopathology showed spindle cells with eosinophilic cytoplasm.
- Immunohistochemistry confirmed strong positivity for SMA, indicative of smooth muscle origin.
- The patient was diagnosed with pilar leiomyoma.
Conclusions:
- Pilar leiomyoma, though rare, should be considered in the differential diagnosis of pediatric cutaneous and mucosal masses.
- Prompt clinical evaluation and appropriate diagnostic workup are essential for accurate diagnosis and management.
- Surgical excision is the recommended treatment for symptomatic or cosmetically concerning lesions.
