Table of Content

Current Issue

Summer 2021, Vol. 29 No. 2

Hong Kong J. Dermatol. Venereol. (2021) 29, 80-83


Case Report

Salvage reconstruction for a case of leiomyoma after delayed diagnosis for twenty years

一例平滑肌瘤延遲診斷二十年後的搶救重建手術

YW Tsui 崔郁文 and HC Chen 陳宏基

Abstract

Correct clinical and histopathological correlation is important for the diagnosis of unusual clinical conditions. We report on a case of a 47-year-old woman patient who presented with multiple painful lesions over the right leg which had been treated with repeated steroid injections for over 20 years. Despite treatment, she continued to suffer from chronic pain and insomnia. Skin biopsy was eventually performed which showed pilar leiomyoma, which was treated with radical excision, and free flap reconstruction. The postoperative result was satisfactory with no recurrence at follow-up at one-year. Pilar leiomyoma is differentiated from multiple scars by correlation between the clinical history, physical examination and histopathology.

正確結合臨床和組織病理學相關性對於異常臨床狀況的診斷實為重要。我們報告了一例47歲女性患者,她右腿出現多處疼痛性病變,曾經重複接受類固醇注射治療達20多年之久。儘管接受了治療,她仍然受到慢性疼痛和失眠症的煎熬。患者最終進行了皮膚活檢,結果顯示為毛髮平滑肌瘤,並接受了根治性切除和游離皮瓣重建手術治療。術後效果滿意,隨訪一年未有復發。通過臨床病史、體格檢查和組織病理學之間的相關性結合,毛髮平滑肌瘤可以與多處瘢痕區分開來。

Keywords: Connective tissue disorders, delayed diagnosis, surgery

關鍵詞: 結締組織病、延遲診斷、手術