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Reminder of important clinical lesson
CASE REPORT
Delayed diagnosis of dermal leiomyosarcoma mimicking keloid scar
  1. Aseel Sleiwah1,
  2. Aoibhinn Clinton2,
  3. Kevin Herbert3
  1. 1Plastic Surgery Unit, The Ulster Hospital, Belfast, UK
  2. 2Histopathology department, Belfast Health and Social Care Trust, Belfast, UK
  3. 3Plastic Surgery Unit, The Ulster Hospital, Belfast, UK
  1. Correspondence to Aseel Sleiwah, aseelnajeeb{at}yahoo.com

Summary

A 43-year-old man developed an abnormal scar 6 months following excision of a leiomyoma from his left shoulder. The scar was elevated, irregular in shape, pink-red in colour, hard in consistency and it was extending beyond the margins of the original wound. A diagnosis of a keloid scar was considered and the patient was managed as such. He underwent a planned procedure for intralesional excision of the keloid scar. The histopathological examination showed a diagnosis of leiomyosarcoma. This case report presents a delayed diagnosis of dermal leiomyosarcoma mimicking a keloid scar. The patient subsequently underwent wider excision of the tumour with curative intention.

  • dermatology
  • plastic and reconstructive surgery
  • pathology

https://doi.org/10.1136/bcr-2017-222616

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    Footnotes

    • Contributors AS: manuscript writing. AC: manuscript writing (investigation and discussion) also facilitated micro histopathology films. KH: consultant, guarantor and did proofreading.

    • Funding This research received no specific grant from anyfunding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.