Cutaneous angiomyolipoma presenting as a pilonidal cyst: a case report

We report a case of cutaneous angiomyolipoma that presented as a pilonidal cyst. This is a very rare tumor that has been reported previously in different locations but never in the sacral area. A 16-year-old middle eastern male presented with a draining sacral mass that was initially misdiagnosed and treated for a pilonidal cyst; this mass was diagnosed only later when symptoms persisted. Further histological and imaging studies were used to diagnose the patient with cutaneous angiomyolipoma, and excision surgery was performed to remove the mass and its extension to the coccygeal bone. Cutaneous Angiomyolipoma (AML) is a rare, distinct neoplasm that warrants clinical recognition. Accurate diagnosis is crucial, particularly in acral locations, to ensure proper management and avoid misclassification with other cutaneous masses.