A Case of Primary Cutaneous Leiomyosarcoma Managed with Mohs Surgery

Our patient presented with Primary Cutaneous Leiomyosarcoma (PCL), a rare malignant tumor of smooth muscle cells that are more commonly found in visceral structures. In contrast to tumors originating in deeper structures, which have high rates of metastasis and mortality, primary cutaneous tumors are typically only complicated by high rates of local recurrence due to inadequate excision of tumor margins. To minimize recurrence, wide local excision has been the gold standard treatment. Mohs surgery, employed in this case, is becoming a popular alternative to decrease morbidity and improve cosmetic outcome.