JLE

European Journal of Dermatology

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Cutaneous scalp metastasis as the first indication of a clinically silent retroperitoneal leiomyosarcoma and of its further relapse as metastatic widespread disease Volume 24, issue 2, March-April 2014

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  • Figure 1
Authors
1 Department of Dermatology,
2 Department of Anatomic Pathology,
3 Department of Surgery,
Hospital of Busto Arsizio,
Via A. Da Brescia 1,
21052, Busto Arsizio
Italy

A 77-year-old man presented with an enlarging, 2.5 × 1.5 cm, well-defined, hard, scalp nodule mimicking a nodular basal-cell carcinoma. No other similar lesions were detected on the skin. Surgical excision was performed. Histopathological examination revealed a well-demarcated dermal-hypodermal nodule (figure 1A), composed of spindle cells showing elongated nuclei with blunt ends (figure 1B). The mitotic index was 3/10HPF. Spindle cells were smooth-muscle actin (figure 1C) and desmin positive and [...]