Abstract

CUTANEOUS LEIOMYOSARCOMA OF SCALP – A RARE CASE ENTITY

Sunderesh Kamal Chander U., Vani Shree M.*, Sonti Sulochana, Dr. Muthuvel E.

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Abstract

Cutaneous leiomyosarcoma is a rare malignant spindle cell tumour which commonly develops in the bone or soft tissue. Most common sites are the head, neck, arms, legs. Spindle cell lesions of the head and neck are quite diverse with great clinical and biological heterogeneity. Some are malignant while many others are benign or simply reactive in nature. Here, we present a case of a 35 year old male who presented with complaints of a swelling on the scalp for 4 months with no pain and discharge. On examination the swelling was 3 x 2.5 x 1cm on scalp on right occipital region and clinical diagnosis was lipoma. Excision biopsy was done and histopathological examination showed features of spindle cell sarcoma, which on immunohistochemistry was confirmed as cutaneous liposarcoma. This case is reported here due to its extreme rarity.

Keywords: Cutaneous leiomyosarcoma; Spindle cell sarcoma; Malignant tumors of scalp; Smooth muscle tumors.