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Commentary
Cutaneous Leiomyosarcoma: On the Importance of Histologic Location
Leiomiosarcoma cutáneo: la importancia de la localización histológica
B. Llombart
Servicio de Dermatología, Instituto Valenciano de Oncología, Valencia, España
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    "titulo" => "Cutaneous Leiomyosarcoma&#58; On the Importance of Histologic Location"
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        "titulo" => "Leiomiosarcoma cut&#225;neo&#58; la importancia de la localizaci&#243;n histol&#243;gica"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">This issue of <span class="elsevierStyleItalic">Actas Dermo-Sifiliogr&#225;ficas</span> includes a study of the clinical and pathologic features of leiomyosarcomas in a series of 12 patients followed for 15 years&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> Rodr&#237;guez-Lomba and colleagues found that 2 of the 4 dermal tumors recurred&#44; 1 of the 2 subcutaneous tumors developed distant metastases&#44; and 5 of the 6 metastases from noncutaneous tumors resulted in death&#46; The authors remind readers of the importance of first ruling out the possibility of metastasis from an undiagnosed leiomyosarcoma when this type of tumor is found in the dermis&#46; They also provide a highly useful algorithm to guide the dermatologist&#39;s diagnosis and treatment of these tumors based on histologic findings&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Leiomyosarcoma is a rare neoplasm that develops in muscle tissue&#46; It accounts for 2&#37; to 3&#37; of all cutaneous sarcomas&#46; Clinical signs and symptoms are nonspecific&#44; and a biopsy must include fat-containing tissue for diagnosis&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">These sarcomas&#44; as explained by Rodr&#237;guez-Lomba et al<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> and others&#44;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">2&#44;3</span></a> are traditionally classified in 3 groups with different prognoses&#58; cutaneous&#44; or dermal&#44; forms&#59; subcutaneous forms&#59; and cutaneous metastasis from a noncutaneous leiomyosarcoma&#46; The deeper the lesion&#44; the worse the prognosis&#46; Dermal leiomyosarcoma is of intermediate malignancy&#46; Although it tends to recur locally &#40;24&#37;&#41;&#44; the risk of metastasis is low &#40;4&#37;&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> Local spread &#40;37&#37;&#41; and distant metastasis &#40;43&#37;&#41; are more likely in subcutaneous leiomyosarcoma&#46; Finally&#44; metastatic leiomyosarcomas are signs of the progression of a primary tumor&#44; and life expectancy is approximately 16 months after this form is diagnosed&#46;<span class="elsevierStyleSup">3</span> The interesting findings Rodr&#237;guez-Lomba et al report in this issue are consistent with the earlier literature&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Llombart B&#46; Leiomiosarcoma cut&#225;neo&#58; la importancia de la localizaci&#243;n histol&#243;gica&#46; Actas Dermosifiliogr&#46; 2018&#59;109&#58;98&#46;</p>"
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                        "tituloSerie" => "J Am Acad Dermatol"
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Article information
ISSN: 15782190
Original language: English
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