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Limaiem, F., Chelly, I., Bellil, S.

, Mekni,
A., Nidhameddine, K., Haouet, S., et
al. (2007). Primary Cutaneous
Leiomyosarcoma: A histological and
immunohistochemical study of 4
cases. Egyptian Dermatology Online
Journal , 3 (1).

Ignacio, Richelle Angelika E.

3Bio2

Abstract

What is Primary Cutaneous


Leiomyosarcoma (PCL)?
Leiomyosarcoma is an
aggressive soft tissue
sarcoma derived from
smooth muscle cells
typically of uterine,
gastrointestinal or
soft tissue origin.
Primary cutaneous
leiomyosarcoma (PCL)
of the skin is a rare
soft tissue tumor.

Methodology

Surgical
excision

Hematoxy
lin &
Eosin
staining

Note: Only the following information regarding the methodology is available due to the
article being a case report

Results
CASE 1

CASE 2

CASE 3

CASE 4

Location

Chin

Scrotum

Lower lip

Shoulder

Growth
pattern

Nodular

Nodular

Nodular

Nodular

Atypia

Moderate

Marked

Mild

Moderate

Giant
multinucleat
e cells

Necrosis

+ (<50%)

+ (<50%)

Ulceration

Extension to
subcutaneo
us fat

Histological
Grade

Grade 2

Grade 2

Grade 2

Grade 2

Results

Conclusion
In the presence of a small biopsy,
PCL may be misinterpreted as benign
smooth muscle proliferation such as
leiomyoma. Therefore, careful scrutiny
of cytological details in multiple
sections, clinicopathological correlation
and
immunohistochemistry
are
mandatory for definitive diagnosis.
Local
recurrence
and
distant
metastasis can occur years after the

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