A Case of Late Diagnosed Multiple Pilar Leiomyoma Located on the Cheek and Neck

Nursel Dilek, Yunus Saral, Özgür Sadık Kotan, Recep Bedir

Dermatology Department, Recep Tayyip Erdo?an University, Medical Faculty Hospital, Rize, Turkey.
Pathology Department, Recep Tayyip Erdo?an University, Medical Faculty Hospital, Rize, Turkey.

DOI: 10.4236/pst.2014.22006                

Abstract

Leiomyomas are benign soft tissue neoplasms that arise from muscles. Skin is the second most common location for leiomyoma and often localized on the trunk or extremities. Less than 1% of leiomyomas happen in the head and neck. Here we report a case of pilar leiomyoma which located on the face and neck in the form of multiple, large papulonodules plaque. The treatment by excision and grafting would be difficult because of the large surface area involved the patient was treated with nifedipine. We recommend that leiomyomas must be included in the clinical differential diagnosis of painful papulonodules.

Keywords

Leiomyoma, Neoplasm, Cheek, Neck

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Malhotra, P., Walia, H., Singh, A. and Ramesh, V. (2010) Leiomyoma Cutis: A Clinicopathological Series of 37 Cases. Indian Journal of Dermatology, 55, 337-341.
[2]	Akay, B.N., Boyvat, A., Heper, A.O. and Unlu, E. (2008) Congenital Pilar Leiomyoma. Journal of American Academy Dermatology, 59, 102-104.
[3]	Hauschild, A., Maier, C. and Christophers, E. (1997) Multiple Painful Leiomyomas of the Skin: A Novel Therapy with Sympathicolysis. Journal of European Academy Dermatology and Venereology, 9, 262-265.
[4]	Matthews, J.H., Pichardo, R.O., Hitchcock, M.G. and Leshin, B. (2004) Cutaneous Leiomyoma with Cytologic Atypia, Akin to Uterine Symplastic Leiomyoma. Dermatological Surgery, 30, 1249-1251.
[5]	Lun, K.R. and Spelman, L.J. (2000) Multiple Piloleiomyomas. Australas Journal of Dermatology, 41, 185-186.
[6]	Cintra, P.P., Lima, W.T. and Rodrigues, J.A. (2007) Leiomyoma of the Nasal Cavity: Case Report. Brazilian Journal of Otorhinolaryngology, 73, 851.
[7]	Sada, A., Misago, N., Inoue, T. and Narisawa, Y. (2007) Segmental Multiple Cutaneous Piloleiomyoma with an Over- lying Epidermal Proliferation. Journal of Dermatology, 34, 665-667.
[8]	Pileri, A., Ghetti, P.L., Neri, I., Raone, B., Ciabatti, S., Reggiani, C. and Patrizi, A. (2011) Atypical Piloleiomyoma of the Face Presenting with Central Ulceration. Dermatology Reports, 3, 112.
[9]	Yamato, M., Nishimura, G., Koguchi, Y. and Saotome, K. (1999) Calcified Leiomyoma of Deep Soft Tissue in a Child. Pediatrical Radiology, 29, 135-137.
[10]	Fons, M.E., Bachhuber, T. and Plaza, J.A. (2011) Cutaneous Leiomyosarcoma Originating in a Symplastic Pilar Lei- omyoma: A Rare Occurrence and Potential Diagnostic Pitfall. Journal of Cutan Pathology, 38, 49-53.
[11]	Badeloe, S., van Geel, M., van Steensel, M.A., Bastida, J., Ferrando, J., Steijlen, P.M., Frank, J. and Poblete-Gutiérrez, P. (2006) Diffuse and Segmental Variants of Cutaneous Leiomyomatosis: Novel Mutations in the Fumarate Hydratase Gene and Review of the Literature. Experimental Dermatology, 15, 735-741.
[12]	Christenson, L.J., Smith, K. and Arpey, C.J. (2000) Treatment of Multiple Cutaneous Leiomyomas with CO2 Laser Ab- lation. Dermatological Surgery, 26, 319-322.