Home   Chapter Home   Jobs   Conferences   Fellowships   Books



Advertisement

Skin - Nonmelanocytic tumors

Other tumors of skin

Leiomyosarcoma


Reviewer: Christopher Hale, M.D. (see Reviewers page)
Revised: 14 September 2012, last major update September 2012
Copyright: (c) 2001-2012, PathologyOutlines.com, Inc.

General
=========================================================================

● Malignant smooth muscle tumor similar to counterparts elsewhere
● Typically larger than leiomyomas with vascular invasion
● Recurs, but only rarely metastasizes
● May be associated with HIV infection

Case reports
=========================================================================

● 59 year old woman with painless skin nodule (J Med Case Reports 2007;1:180)
● 67 year old woman with neck lesion (Cases J 2010;3:52)

Micro description
=========================================================================

● Cellular lesions of smooth muscle type cells with atypia, necrosis and mitotic activity
● May have prominent vascular pattern, clear cell features, desmoplasia

Micro images
=========================================================================


       
Various images

Positive stains
=========================================================================

● HHF35 (90%), alpha-smooth muscle actin (90%), vimentin, desmin (75%) (Cancer 2009;115:4186)

Differential diagnosis
=========================================================================

● Atypical fibroxanthoma (AFX)/malignant fibrous histiocytoma (MFH)
● Melanoma
● Kaposi sarcoma
● Spindle cell carcinoma
● Epithelioid angiosarcoma
● Malignant peripheral nerve sheath tumor

End of Skin - Nonmelanocytic tumors > Other tumors of skin > Leiomyosarcoma


This information is intended for physicians and related personnel, who understand that medical information is often imperfect, and must be interpreted in the context of a patient's clinical data using reasonable medical judgment. This website should not be used as a substitute for the advice of a licensed physician.

All information on this website is protected by copyright of PathologyOutlines.com, Inc. Information from third parties may also be protected by copyright. Please contact us at copyrightPathOut@gmail.com with any questions (click here for other contact information).