{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T04:01:17Z","timestamp":1745812877532,"version":"3.40.4"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,1,13]]},"abstract":"<jats:p>A 43-year-old man developed an abnormal scar 6 months following excision of a leiomyoma from his left shoulder. The scar was elevated, irregular in shape, pink-red in colour, hard in consistency and it was extending beyond the margins of the original wound. A diagnosis of a keloid scar was considered and the patient was managed as such. He underwent a planned procedure for intralesional excision of the keloid scar. The histopathological examination showed a diagnosis of leiomyosarcoma. This case report presents a delayed diagnosis of dermal leiomyosarcoma mimicking a keloid scar. The patient subsequently underwent wider excision of the tumour with curative intention.<\/jats:p>","DOI":"10.1136\/bcr-2017-222616","type":"journal-article","created":{"date-parts":[[2018,1,27]],"date-time":"2018-01-27T03:45:19Z","timestamp":1517024719000},"page":"bcr-2017-222616","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Delayed diagnosis of dermal leiomyosarcoma mimicking keloid scar"],"prefix":"10.1136","volume":"2018","author":[{"given":"Aseel","family":"Sleiwah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aoibhinn","family":"Clinton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Herbert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,1,26]]},"reference":[{"key":"2025042702392356000_2018.jan26_1.bcr-2017-222616.1","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1177\/107327481302000408","article-title":"Cutaneous Leiomyosarcoma: A Single Institution Experience of Treatment and Outcomes with a Standardized Margin of Resection","volume":"20","author":"Jeremiah","year":"2013","journal-title":"Cancer Control"},{"key":"2025042702392356000_2018.jan26_1.bcr-2017-222616.2","first-page":"504","article-title":"The epidemiology of soft tissue sarcoma","volume":"24","author":"Zahm","year":"1997","journal-title":"Semin Oncol"},{"key":"2025042702392356000_2018.jan26_1.bcr-2017-222616.3","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19810101)47:1<156::AID-CNCR2820470127>3.0.CO;2-#"},{"key":"2025042702392356000_2018.jan26_1.bcr-2017-222616.4","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1684\/ejd.2015.2681","article-title":"Primary cutaneous and subcutaneous leiomyosarcomas: evolution and prognostic factors","volume":"26","author":"Aneiros-Fernandez","year":"2016","journal-title":"Eur J Dermatol"},{"key":"2025042702392356000_2018.jan26_1.bcr-2017-222616.5","first-page":"389","article-title":"A neglected giant subcutaneous leiomyosarcoma of the shoulder: a case report","volume":"13","author":"Palla","year":"2009","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"2025042702392356000_2018.jan26_1.bcr-2017-222616.6","doi-asserted-by":"crossref","first-page":"309","DOI":"10.4103\/0378-6323.155565","article-title":"Recurrent cutaneous leiomyosarcoma of the inner thigh","volume":"81","author":"Bonamonte","year":"2015","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"2025042702392356000_2018.jan26_1.bcr-2017-222616.7","unstructured":"Dennis N , Francis M . National cancer intelligence network. Soft Tissue Sarcoma Incidence and Survival Tumours Diagnosed in England between 1985 and 2009. Birmingham: The University of Birmingham, 2012."},{"key":"2025042702392356000_2018.jan26_1.bcr-2017-222616.8","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2002.121358"},{"key":"2025042702392356000_2018.jan26_1.bcr-2017-222616.9","unstructured":"NICE. 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An important case of misdiagnosis: keloid scar or high-grade soft-tissue sarcoma? BMJ Case Rep 2014. doi: 10.1136\/bcr-2014-203600. 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