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J Cutan Pathol. 2021 Sep;48(9):1182-1184. doi: 10.1111/cup.14044. Epub 2021 Jun 04.

Rhabdomyomatous mesenchymal hamartoma presenting as telangiectasia in a 57-year-old man.

Journal of cutaneous pathology

Omid Zargari, Masih Asadi, Seyyede Zeinab Azimi, Alireza Mesbah

Affiliations

  1. Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  2. York University, Toronto, Canada.
  3. Center for Research & Training in Skin Diseases & Leprosy, Tehran University of Medical Sciences, Tehran, Iran.
  4. Razi Laboratory, Rasht, Iran.

PMID: 33964023 DOI: 10.1111/cup.14044

Abstract

Rhabdomyomatous mesenchymal hamartoma (RMH) is a rare congenital malformation of the dermis and subcutaneous tissue. Usually, RMH occurs in the midline of the face and neck region. We described a case of RMH presenting as telangiectasia in a 57-year-old man with a history of pityriasis lichenoides chronicus. Histopathological examination revealed a subepidermal haphazard proliferation of striated muscular tissue perpendicular to the epidermis. These bundles of striated muscular tissue were admixed with adnexal structures. The diagnosis was consistent with RMH. RMH is more common in the neonatal period or in young children, but we should consider it as part of a differential diagnosis in older adults as well.

© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Keywords: hamartoma; mesenchymal; rhabdomyomatous; soft tissue neoplasms

References

  1. Hao J, Diao QC, Wang SP, Liang CP, Shi BJ. Rhabdomyomatous mesenchymal hamartoma: case report and literature review. Int J Dermatol. 2015;54(10):1183-1185. - PubMed
  2. Rosenberg AS, Kirk J, Morgan MB. Rhabdomyomatous mesenchymal hamartoma: an unusual dermal entity with a report of two cases and a review of the literature. J Cutan Pathol. 2002;29(4):238-243. - PubMed
  3. Díaz-Perez JA, García-Ramírez CA, García-Vera JA, Melo-Uribe MA, Uribe CJ. Rhabdomyomatous mesenchymal hamartoma. Actas Dermosifiliogr. 2008;99(6):474-476. - PubMed
  4. Lin CP, Nguyen JM, Aboutalebi S, Stetson CL. Incidental rhabdomyomatous mesenchymal hamartoma. Proc (Bayl Univ Med Cent). 2020; 28;34(1):161-162. - PubMed
  5. De la Sotta P, Salomone C, Gonzalez S. Rhabdomyomatous (mesenchymal) hamartoma of the tongue: report of a case. J Oral Pathol Med. 2007;36(1):58-59. - PubMed
  6. Al-Mashhadi A, Dukic M, Lilja HE. Rhabdomyomatous mesenchymal hamartoma presenting in a child as a perineal mass. J Pediatr Surg Case Rep. 2019;47:101242. - PubMed
  7. Sayan A, Diniz G, Mert M, Yildirin Ekin Z, Koyluoglu G. Rhabdomyomatous mesenchymal hamartoma developed at an unexpected location. Arch Argent Pediatr. 2019;117(5):e519-e522. - PubMed
  8. Han SH, Song HJ, Hong WK, Lee HS, Choi GS, Shin JH. Rhabdomyomatous mesenchymal hamartoma of the vagina. Pediatr Dermatol. 2009;26(6):753-755. - PubMed
  9. Brinster NK, Farmer ER. Rhabdomyomatous mesenchymal hamartoma presenting on a digit. J Cutan Pathol. 2009;36(1):61-63. - PubMed
  10. Bell R, Marston AP, Discolo CM. Eustachian tube rhabdomyomatous mesenchymal hamartoma in a pediatric patient. JAMA Otolaryngol Head Neck Surg. 2020;146(10):968. - PubMed
  11. González IA, Dehner LP. Smooth muscle hamartoma and striated muscle hamartoma: clinicopathologic characterization of two rare entities and literature review. J Cutan Pathol. 2021;48(2):237-246. - PubMed
  12. McKinnon EL, Rand AJ, Selim MA, Fuchs HE, Buckley AF, Cummings TJ. Rhabdomyomatous mesenchymal hamartoma presenting as a sacral skin tag in two neonates with spinal dysraphism. J Cutan Pathol. 2015;42(10):774-778. - PubMed
  13. Stanek J, de Courten-Myers G, Spaulding AG, Strub W, Hopkin RJ. Case of complex craniofacial anomalies, bilateral nasal proboscides, palatal pituitary, upper limb reduction, and amnion rupture sequence: disorganization phenotype? Pediatr Dev Pathol. 2001;4(2):192-202. - PubMed
  14. Stefanko NS, Davies OM, Beato MJ, et al. Hamartomas and midline anomalies in association with infantile hemangiomas, PHACE, and LUMBAR syndromes. Pediatr Dermatol. 2019;37(1):78-85. - PubMed
  15. Williams NP, Shue ACL. Rhabdomyomatous mesenchymal hamartoma: clinical overview and report of a case with spontaneous regression. West Indian Med J. 2009;58(6):607-609. - PubMed

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