title: Dermal skin template for the management of multiple cutaneous leiomyomas.
abstract: BACKGROUND
  Multiple leiomyomas are rare benign tumors of the skin, originating from the arrector pili muscle, and usually appear as painful nodules. Several pharmacologic agents have been used with some success to reduce pain and discomfort since surgery may be an impractical approach owing to the extent of the disease.
  
  
  OBJECTIVE
  This article reports on a patient with multiple cutaneous leiomyomas of the upper limb who was managed by a method not previously reported for leiomyomas.
  
  
  METHODS
  The management involved total surgical resection of the defect and immediate reconstruction with the Integra artificial dermal template (Integra LifeSciences Corp., Plainsboro, NJ).
  
  
  RESULTS
  With this treatment, the patient was totally relieved from the pain, and optimal functional and esthetic results were achieved.
  
  
  CONCLUSIONS
  Complete surgical resection of multiple cutaneous leiomyomas prevented the disease's recurrence. The immediate reconstruction of the resultant full-thickness defect with artificial dermis ensured uneventful wound healing, resulting in optimal functional and esthetic outcome and total relief from leiomyoma-associated discomfort.
authors.affiliation: Department of Plastic Surgery-Microsurgery and Burn Center, General State Hospital of Athens, G. Gennimatas, Athens, Greece.
authors.forename: Andreas
authors.initials: A
authors.lastname: Gravvanis
authors.forename: Despoina
authors.initials: D
authors.lastname: Kakagia
authors.forename: Stefanos
authors.initials: S
authors.lastname: Papadopoulos
authors.forename: Dimosthenis
authors.initials: D
authors.lastname: Tsoutsos
mesh_terms: D001132:Arm; D002809:Chondroitin Sulfates / Q000627:therapeutic use*; D003094:Collagen / Q000627:therapeutic use*; D006801:Humans; D018231:Leiomyomatosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012878:Skin Neoplasms / Q000601:surgery*; D017768:Skin, Artificial
chemical_list: C114835:integra artificial skin; D002809:Chondroitin Sulfates; D003094:Collagen