A Rare Case of Cutaneous Angioleiomyoma: Insights into Diagnosis and Treatment

Understanding Cutaneous Angioleiomyoma Cutaneous angioleiomyomas are well-circumscribed subcutaneous nodules, commonly appearing in the lower extremities of women. However, their occurrence on the nostril, as seen in this case, is highly unusual. The tumor was diagnosed using histopathological examination, which remains the gold standard for identifying such rare growths.

Case Report Overview

  • Patient Profile: 42-year-old male with no significant medical history.
  • Symptoms: Solitary, symptomless nodule over the left nostril persisting for 1.5 years.
  • Diagnosis: Achieved through histopathological analysis of a biopsy sample.
  • Treatment: Complete surgical excision was performed, ensuring both medical efficacy and cosmetic preservation.

Histopathological Findings and Differential Diagnosis Histopathological examination revealed closely packed smooth muscle cells with slit-like vascular channels, characteristic of solid-type cutaneous angioleiomyoma. The differential diagnosis included:

  • Hemangioma
  • Venous malformation
  • Glomus tumor
  • Angioleiomyosarcoma A biopsy is essential in distinguishing angioleiomyomas from these similar lesions.

Conclusion & Call to Action Cutaneous angioleiomyoma remains a rare clinical entity that requires careful diagnosis and management. Complete surgical excision remains the treatment of choice, ensuring both medical and aesthetic benefits.

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