ABSTRACT
Leiomyosarcoma of the scrotum is a rare tumor. Cutaneous and subcutaneous leiomyosarcomas constitute the two subtypes. We report a case of cutaneous leiomyosarcoma of the scrotum in a 73-year-old man. Cutaneous leiomyosarcoma arises from the smooth muscle of the dartos or arrectores pilorum. It is often mistaken for a benign lesion. We describe the clinical and pathologic features and review the published reports of this uncommon malignancy. It is best treated by wide local excision. Inguinal lymph node dissection is not advocated, unless a high degree of suspicion is present for lymph node metastasis. Long-term follow-up is essential, because of the risk of delayed local recurrence and distant metastasis.
Subject(s)
Genital Neoplasms, Male/pathology , Leiomyosarcoma/pathology , Scrotum , Aged , Humans , MaleSubject(s)
Health Care Reform/legislation & jurisprudence , Politics , Health Benefit Plans, Employee/legislation & jurisprudence , Health Benefit Plans, Employee/organization & administration , Health Care Coalitions/legislation & jurisprudence , Health Care Coalitions/organization & administration , Lobbying , Medically Uninsured , Taxes , United StatesSubject(s)
Foot Diseases/surgery , Laser Therapy/methods , Warts/surgery , Adolescent , Adult , Aged , Child , Humans , Laser Therapy/economics , Laser Therapy/instrumentation , Middle Aged , Treatment OutcomeABSTRACT
A case of febrile ulceronecrotic Mucha-Habermann's is presented. This disorder is a severe form of pityriasis lichenoides et varioliformis acuta (PLEVA) characterized by the sudden eruption of diffuse coalescent ulcerations associated with high fever. In the present case the disease was preceded by the milder typical form of PLEVA. Histologically a leukocytoclastic vasculitis was seen in addition to the usual lymphocytic perivascular and lichenoid infiltrate. During the course of the disease the patient developed an interstitial pneumonitis which resolved concomitantly with the cutaneous lesions. Adenovirus type II recovered at the height of the illness from the patient's urine may have etiologic implications in the pathogenesis of the disease.
