Surgical Alternative for Multiple Pilar Cutaneous Leiomyoma of the Lower Limb: Case Report and Literature Review

Abstract

Pilar leiomyoma, or benign neoplasia of the arrector pili muscles, is an uncommon pathology, although it is the most frequent type of cutaneous leiomyoma. It occurs in young adults, affecting both sexes equally. It presents as multiple or isolated, reddish-brown, papulonodular lesions. Although no malignant tumors have been reported, it is important to include this pathology in the differential diagnosis of papulonodular cutaneous lesions. Surgical treatment is often reserved for prolonged and symptomatic cases, with relapse reports. In this paper, we report the case of a 28-year-old male patient with a diagnosis of pilar leiomyoma on the lateral thigh and right leg who underwent a tangential skin resection.

Keywords

plastic surgery - leiomyoma - lesion - neoplasias - skin

Author's Contributions

IMS: analysis and/or interpretation of data, validation, and writing – original draft; ASC: supervision; LAA: formal analysis; LVD, methodology; MSV, data curation; and SFAG: writing – original draft.

Publication History

Received: 04 October 2023

Accepted: 29 September 2024

Article published online:
11 February 2025

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