Abstract
58-year-old woman, who had undergone a hysterectomy because of multiple uterine leiomyomas, presented with multiple painful indurated, erythematous papules and nodules on her back and both shoulders (Figures 1 and 2). Her sister, 2 aunts, and her mother also had uterine leiomyomas, and a cousin had the same kind of cutaneous lesions. Routine blood tests, including full blood cell count, urea and electrolyte levels, and urine sediment level, were within reference ranges, and an abdominal ultrasound showed a simple 7 6 cm cystin the upper pole of the right kidney. Hematoxylin-eosin staining showed the presence of a nonencapsulated dermal tumor composed of interweaving fascicles of spindle cells with eosinophilic cytoplasm and elongated nuclei without atypia and mitosis (Supplemental
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