Leiomyoma mimicking hypertrophic scar/keloid over the surgical incision site

Following surgery, hypertrophic scars/keloid is a frequent consequence, especially in people with a hereditary propensity for scar development. Although the precise cause of hypertrophic scar development is unknown, it is believed to be caused by an excess of collagen being produced at the site of damage. There are several ways to treat hypertrophic scars, including cryotherapy, laser therapy, intralesional steroids (ILS), and surgical excision. Recurrence rates are significant, and treatment results might be uncertain. In this case report, we describe a 43-year-old male patient who had spinal decompression and fixation surgery and thereafter acquired a hypertrophic scar/keloid-like lesion that was resistant to ILS. Following a biopsy, it was discovered that the tumor was a leiomyoma, which is quite rare in this situation.