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Congenital smooth muscle hamartoma
presents as flesh coloured or variably pigmented plaque or macule, upto
10 cm in diameter. Thick hairs are prominent in the affected areas.
The tumour is usually located in infants.
The common sites include extremities or
trunks.
Histologically, there are scattered bundles of smooth muscle fibres in
the dermis orientated in various directions.
Thin retraction space is often present around muscle bundles .
Nerve bundles are also noted.
The overlying epidermis may show elongation of the rete ridges and
hyperpigmentation of the basal layer.
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