Sonographic Characteristics of Leiomyomatous Tumors of Skin and Nail—A Case Series

Introduction - The clinical appearance of the uncommon cutaneous leiomyomatous tumors (LMT) is nonspecific, leading to an extensive differential diagnosis. A non-invasive tool such as high-frequency ultrasound (HFUS) is required for characterizing LMTs in the clinical setting. Although the sonograp...

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Main Authors: Eyal Taleb, Cristobal Saldias, Sergio Gonzalez, Carlos Misad, Ximena Wortsman
Format: Article
Language:English
Published: Mattioli1885 2022-07-01
Series:Dermatology Practical & Conceptual
Subjects:
Online Access:http://dpcj.org/index.php/dpc/article/view/1942
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author Eyal Taleb
Cristobal Saldias
Sergio Gonzalez
Carlos Misad
Ximena Wortsman
author_facet Eyal Taleb
Cristobal Saldias
Sergio Gonzalez
Carlos Misad
Ximena Wortsman
author_sort Eyal Taleb
collection DOAJ
description Introduction - The clinical appearance of the uncommon cutaneous leiomyomatous tumors (LMT) is nonspecific, leading to an extensive differential diagnosis. A non-invasive tool such as high-frequency ultrasound (HFUS) is required for characterizing LMTs in the clinical setting. Although the sonographic features of their uterine counterpart had been well reported, there are only scant reports on the use of ultrasound (US) for studying leiomyomatous neoplasms of the skin and nail. Objectives and methods – We Characterized common sonographic features of LMT using HFUS in three patients, two of them with multiple cutaneous leiomyomas and another with a subungual leiomyosarcoma. Results – In all cases, several shared ultrasound (US) characteristics were found. Moreover, we describe a new ultrasonographic sign in cutaneous leiomyomas called the “pine tree” sign, with other features not previously reported. Conclusion - These ultrasonographic characteristics would strengthen the clinical diagnosis, assist with treatment management, and may help avoid serial biopsies in cases with multiple cutaneous lesions.
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spelling doaj.art-9f00f058249b4f1ab91f9093843305c92022-12-22T01:33:32ZengMattioli1885Dermatology Practical & Conceptual2160-93812022-07-0112310.5826/dpc.1203a82Sonographic Characteristics of Leiomyomatous Tumors of Skin and Nail—A Case SeriesEyal Taleb0Cristobal Saldias1Sergio Gonzalez2Carlos Misad3Ximena Wortsman4Department of Dermatology, Sourasky Tel Aviv Medical Center, Tel Aviv, IsraelDepartment of Dermatology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, ChileDepartment of Pathology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, ChileDepartment of Pathology, Facultad de Medicina, Universidad de Chile, Santiago, ChileDepartment of Dermatology, Facultad de Medicina, Pontificia Universidad Católica de Chile; Institute for Diagnostic Imaging and Research of the Skin and Soft Tissues, Santiago, Chile Introduction - The clinical appearance of the uncommon cutaneous leiomyomatous tumors (LMT) is nonspecific, leading to an extensive differential diagnosis. A non-invasive tool such as high-frequency ultrasound (HFUS) is required for characterizing LMTs in the clinical setting. Although the sonographic features of their uterine counterpart had been well reported, there are only scant reports on the use of ultrasound (US) for studying leiomyomatous neoplasms of the skin and nail. Objectives and methods – We Characterized common sonographic features of LMT using HFUS in three patients, two of them with multiple cutaneous leiomyomas and another with a subungual leiomyosarcoma. Results – In all cases, several shared ultrasound (US) characteristics were found. Moreover, we describe a new ultrasonographic sign in cutaneous leiomyomas called the “pine tree” sign, with other features not previously reported. Conclusion - These ultrasonographic characteristics would strengthen the clinical diagnosis, assist with treatment management, and may help avoid serial biopsies in cases with multiple cutaneous lesions. http://dpcj.org/index.php/dpc/article/view/1942leiomyoma cutis; nail leiomyosarcoma; cutaneous leiomyoma ultrasound; leiomyosarcoma nail ultrasound; dermatologic ultrasound; nail ultrasound
spellingShingle Eyal Taleb
Cristobal Saldias
Sergio Gonzalez
Carlos Misad
Ximena Wortsman
Sonographic Characteristics of Leiomyomatous Tumors of Skin and Nail—A Case Series
Dermatology Practical & Conceptual
leiomyoma cutis; nail leiomyosarcoma; cutaneous leiomyoma ultrasound; leiomyosarcoma nail ultrasound; dermatologic ultrasound; nail ultrasound
title Sonographic Characteristics of Leiomyomatous Tumors of Skin and Nail—A Case Series
title_full Sonographic Characteristics of Leiomyomatous Tumors of Skin and Nail—A Case Series
title_fullStr Sonographic Characteristics of Leiomyomatous Tumors of Skin and Nail—A Case Series
title_full_unstemmed Sonographic Characteristics of Leiomyomatous Tumors of Skin and Nail—A Case Series
title_short Sonographic Characteristics of Leiomyomatous Tumors of Skin and Nail—A Case Series
title_sort sonographic characteristics of leiomyomatous tumors of skin and nail a case series
topic leiomyoma cutis; nail leiomyosarcoma; cutaneous leiomyoma ultrasound; leiomyosarcoma nail ultrasound; dermatologic ultrasound; nail ultrasound
url http://dpcj.org/index.php/dpc/article/view/1942
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AT sergiogonzalez sonographiccharacteristicsofleiomyomatoustumorsofskinandnailacaseseries
AT carlosmisad sonographiccharacteristicsofleiomyomatoustumorsofskinandnailacaseseries
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