Tuberous sclerosis with two unusual findings: cutaneous rhabdomyoma and chronic myelogenous leukaemia

Cutaneous rhabdomyoma in an 82-year-old White man

“…A standardized treatment algorithm for cutaneous rhabdomyomas has not been elucidated due to the rarity of these lesions. In one case of fetal cutaneous rhabdomyoma, surgical excision was recommended due to cosmetic concerns and complete histological examination to rule out well-circumscribed rhabdomyosarcoma, while another case opted for close clinical monitoring [7,10]. The literature suggests that small, asymptomatic adult cutaneous rhabdomyomas can typically be clinically monitored, however, surgical excision with marginal evaluation is often recommended to prevent morbidity related to growth and compression of underlying neurovascular structures [3].…”