Abstract
Cutaneous leiomyomas are uncommon benign smooth muscle tumors that comprise of three distinct types such as piloleiomyoma, angioleiomyoma, and genital leiomyoma. The discovery in 2001 of the association between cutaneous leiomyomas, uterine leiomyomas in women, and an aggressive form of renal cell cancer (RCC) underscores the importance of accurate dermatologic diagnosis of CL so that appropriate cancer screening and counseling of patients and at-risk relatives can be instituted. The present case report will discuss the pathogenesis, clinical manifestations, diagnosis, and management of a piloleiomyoma.
Highlights
Cutaneous leiomyomas, called piloleiomyomas, are uncommon smooth muscle tumors that are benign and derive from the muscles responsible for piloerection of hair follicles, the arrector pili muscles[1]
The present case is that of a 36-year-old male, with a known history of piloleiomyoma
When Cutaneous leiomyomas occur in multiple numbers, they are most likely part of a cancer syndrome abbreviated
Summary
The present case is that of a 36-year-old male, with a known history of piloleiomyoma. He underwent a first treatment attempt in 2010, in the form of excision and skin grafting of tumors located in the left pectoral/ deltoid region. New tumors have developed distally to the previous ones, affecting the upper left limb almost entirely, with only the skin of the hand being left unaffected, both dorsally and volarly. It is important to mention that the region of the previous skin graft had remained unaffected, with neither symptoms, nor visible tumors
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