1
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Echeandia-Francis C, Nock MR, Myung P, Zubek AE. Rapidly progressive subungual gray-brown melanonychia. JAAD Case Rep 2024; 44:113-115. [PMID: 38414828 PMCID: PMC10897537 DOI: 10.1016/j.jdcr.2024.01.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/29/2024] Open
Affiliation(s)
| | | | - Peggy Myung
- Department of Dermatology, Yale School of Medicine, New Haven, Connecticut
- Department of Pathology, Yale School of Medicine, New Haven, Connecticut
| | - Amanda E Zubek
- Department of Dermatology, Yale School of Medicine, New Haven, Connecticut
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2
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Arregui I, Ñanco C, Mardones F. [Translated article] Pedunculated Papule on the Sole of the Foot. ACTAS DERMO-SIFILIOGRAFICAS 2023; 114:T343-T344. [PMID: 36848952 DOI: 10.1016/j.ad.2023.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Accepted: 07/26/2021] [Indexed: 02/27/2023] Open
Affiliation(s)
- I Arregui
- Médico cirujano, Universidad de los Andes, Santiago, Chile.
| | - C Ñanco
- Residente Dermatología 2° año, Universidad de los Andes, Santiago, Chile
| | - F Mardones
- Dermatólogo, Clínica Universidad de los Andes, Santiago, Chile
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3
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Debordes PA, Hamoudi C, Weingertner N, Di Marco A. Superficial acral fibromyxoma: a case of missed diagnosis. J Surg Case Rep 2023; 2023:rjad027. [PMID: 36751671 PMCID: PMC9894613 DOI: 10.1093/jscr/rjad027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Accepted: 01/14/2023] [Indexed: 02/05/2023] Open
Abstract
Superficial acral fibromyxoma (SAFM) is a rare, benign, slow-growing fibroblastic tumour of the soft tissue that is part of the group of myxoid soft-tissue neoplasms. It is a rare entity and usually occurs in the acral regions. We report the case of a 64-year-old man who presented to the emergency room for a lesion expected to have occurred as a result of an ingrown toenail. Because this patient had a history of repeated recurrences despite multiple surgical wedge excisions, we performed a complete surgical excision, and the pathological analysis confirmed the suspected diagnosis of SAFM. There was no recurrence at the 6-month follow-up. This case highlights the fact that this tumour is still misunderstood and underrecognized by surgeons and this often leads to delayed diagnosis. Although it is a rare entity, clinicians should be aware of this tumour in cases of recurring ingrown toenails.
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Affiliation(s)
| | - Ceyran Hamoudi
- Department of Orthopedic Surgery, University Hospital of Strasbourg, Strasbourg, France
| | - Noelle Weingertner
- Department of Pathology, University hospital of Strasbourg, Strasbourg, France
| | - Antonio Di Marco
- Department of Orthopedic Surgery, University Hospital of Strasbourg, Strasbourg, France
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4
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Xiong X, Zhang W, Huang W, Jiang R. Superficial acral fibromyxoma of the great toe ruptured after trauma: A case report. Asian J Surg 2022; 46:1698-1699. [PMID: 36272854 DOI: 10.1016/j.asjsur.2022.09.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Accepted: 09/27/2022] [Indexed: 11/16/2022] Open
Affiliation(s)
- Xiaoyang Xiong
- Department of Orthopedics, Kunshan Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Kunshan, Jiangsu Province, 215300, China
| | - Weigang Zhang
- Department of Orthopedics, Kunshan Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Kunshan, Jiangsu Province, 215300, China.
| | - Wei Huang
- Department of Traditional Chinese Medicine, Dahua Hospital, Xuhui District, Shanghai, 200237, China.
| | - Rilei Jiang
- School of Basic Medicine Science, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
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5
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Ho G, Kurek C, Stewart D, Martin LK. An unusual growth in the nail matrix: A case of superficial acral fibromyxoma. SKIN HEALTH AND DISEASE 2022; 2:e121. [PMID: 36092267 PMCID: PMC9435459 DOI: 10.1002/ski2.121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 04/21/2022] [Accepted: 04/23/2022] [Indexed: 11/12/2022]
Abstract
We describe a case of superficial acral fibromyxoma arising within the germinal matrix of the index finger. This is an uncommon localisation of this relatively newly described benign soft tissue tumour. Herein, we discuss the varied clinical presentation, distinguishing histopathological features and important differential diagnoses for this condition.
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Affiliation(s)
- Genevieve Ho
- Melanoma Institute Australia Sydney New South Wales Australia
- Faculty of Medicine and Health University of Sydney Sydney New South Wales Australia
| | - Caroline Kurek
- Histopathology Douglass Hanly Moir Pathology Sydney New South Wales Australia
| | - David Stewart
- Melanoma Institute Australia Sydney New South Wales Australia
- Royal North Shore Hospital Sydney New South Wales Australia
| | - Linda K. Martin
- Melanoma Institute Australia Sydney New South Wales Australia
- Faculty of Medicine and Health University of Sydney Sydney New South Wales Australia
- Faculty of Medicine University of New South Wales Sydney New South Wales Australia
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6
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Sivasaththivel M, Howard MD, Yazdabadi A. Acral fibromyxoma: a rare plantar nodule. BMJ Case Rep 2022; 15:e247565. [PMID: 35750432 PMCID: PMC9234790 DOI: 10.1136/bcr-2021-247565] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/08/2022] [Indexed: 11/04/2022] Open
Abstract
Acral fibromyxomas are benign tumours ranging in size between 0.6 and 5 cm, commonly found around the nailbed. The often asymptomatic presentation of acral fibromyxomas means that there is often a delay in their diagnosis and subsequent treatment. The objective of this paper is to present the unique case of a fibromyxoma present in the acral region, as well as a review of the literature.
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Affiliation(s)
| | | | - Anousha Yazdabadi
- Medical Education, University of Melbourne, Parkville, Melbourne, Australia
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7
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Lesbazeilles R, Cormerais M, Dumas V, Wierzbicka-Hainaut E, Frouin E. Association of superficial acral fibromyxoma and angioleiomyoma on distal phalanx. Ann Dermatol Venereol 2021; 149:64-67. [PMID: 34247852 DOI: 10.1016/j.annder.2021.06.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Revised: 03/30/2021] [Accepted: 06/18/2021] [Indexed: 10/20/2022]
Affiliation(s)
- R Lesbazeilles
- Department of dermatology, Poitiers University Hospital, 86000 Poitiers, France.
| | - M Cormerais
- Department of dermatology, Poitiers University Hospital, 86000 Poitiers, France
| | - V Dumas
- Department of radiology, Poitiers University Hospital, 86000 Poitiers, France
| | | | - E Frouin
- Department of pathology, Poitiers University Hospital, 86000 Poitiers, France
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8
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Pangti R, Mehta N, Gupta S, Das P, Bhari N. Slowly progressive nodular growth of the nail bed in a young adult. Indian J Dermatol Venereol Leprol 2021; 88:372-375. [PMID: 33871189 DOI: 10.25259/ijdvl_69_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Accepted: 10/01/2020] [Indexed: 11/04/2022]
Affiliation(s)
- Rashi Pangti
- Departments of Dermatology and Venereology and Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - Nikhil Mehta
- Departments of Dermatology and Venereology and Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - Somesh Gupta
- Departments of Dermatology and Venereology and Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - Prasenjit Das
- Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - Neetu Bhari
- Departments of Dermatology and Venereology and Pathology, All India Institute of Medical Sciences, New Delhi, India
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9
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Campbell V, Machnikowski N, Houghton J, Murphy B, Kerr O. Rare plantar heel presentation of superficial acral fibromyxoma. Dermatol Ther 2020; 33:e14517. [PMID: 33169498 DOI: 10.1111/dth.14517] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 10/18/2020] [Accepted: 10/27/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Victoria Campbell
- Department of Dermatology, Level 5, Royal Victoria Hospital, Belfast, UK
| | | | - Joe Houghton
- Department of Pathology, Royal Victoria Hospital, Belfast, UK
| | - Bryan Murphy
- Department of Dermatology, Belfast City Hospital, Belfast, UK
| | - Olga Kerr
- Department of Dermatology, Belfast City Hospital, Belfast, UK
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10
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Kalloniati E, Arampatzi S, Ouzouni C, Papathemeli D, Lazaridou E, Trakatelli MG. Superficial Acral Fibromyxoma, Appearing as Retronychia: A Rare Clinical Entity. Skin Appendage Disord 2020; 6:312-314. [PMID: 33088818 DOI: 10.1159/000507900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2020] [Accepted: 04/06/2020] [Indexed: 11/19/2022] Open
Abstract
We report a case of a subungual superficial acral fibromyxoma (SAFM) in a 37-year-old male patient who presented with a persistent chronic proximal paronychia of the big toenail of the right leg. Our clinical diagnosis was retronychia, an often misinterpreted condition, which must be suspected in cases of persistent paronychia, especially in the setting of trauma. The nail plate avulsion revealed a subungual tumor, which was surgically excised. Histopathology in combination with immunohistochemistry revealed features suggestive of SAFM. The follow-up examination of the patient showed no recurrence 9 months after the surgery.
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Affiliation(s)
- Evangelia Kalloniati
- 2nd Department of Dermatology and Venereology, Aristotle University Medical School, General Hospital "Papageorgiou", Thessaloniki, Greece
| | - Stella Arampatzi
- 2nd Department of Dermatology and Venereology, Aristotle University Medical School, General Hospital "Papageorgiou", Thessaloniki, Greece
| | - Christina Ouzouni
- 2nd Department of Dermatology and Venereology, Aristotle University Medical School, General Hospital "Papageorgiou", Thessaloniki, Greece
| | - Despoina Papathemeli
- 2nd Department of Dermatology and Venereology, Aristotle University Medical School, General Hospital "Papageorgiou", Thessaloniki, Greece
| | - Elizabeth Lazaridou
- 2nd Department of Dermatology and Venereology, Aristotle University Medical School, General Hospital "Papageorgiou", Thessaloniki, Greece
| | - Myrto-Georgia Trakatelli
- 2nd Department of Dermatology and Venereology, Aristotle University Medical School, General Hospital "Papageorgiou", Thessaloniki, Greece
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11
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Painful subungual nodule. JAAD Case Rep 2020; 6:531-533. [PMID: 32490118 PMCID: PMC7256240 DOI: 10.1016/j.jdcr.2020.03.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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12
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An MK, Hong EH, Cho EB, Park EJ, Kim KH, Kim KJ. A Case of Solitary Fibrous Tumor of Subungual Region. Ann Dermatol 2020; 32:146-150. [PMID: 33911726 PMCID: PMC7992551 DOI: 10.5021/ad.2020.32.2.146] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 12/12/2018] [Accepted: 12/26/2018] [Indexed: 11/08/2022] Open
Abstract
Solitary fibrous tumor (SFT) is a relatively uncommon mesenchymal neoplasm that usually arises in the pleura, but also has been reported in numerous extrapleural locations, including cutaneous site. The skin lesion presents as a circumscribed nodule or tumor, mainly on the head and neck. A 41-year-old male presented with 6 months history of nail lesion without symptom on the left third finger. The lesion is slightly yellowish discoloration with subungual erythematous nodule and distal onycholysis. Biopsy specimen from the nail lesion showed the spindle cells form patternless pattern with hypercellular and hypocellular area. And small blood vessels and dilated vascular spaces were present. The result of special stain for specimen showed that positive for CD34, Bcl-2, and CD99 but negative for S-100, FactorXIIIa, and smooth muscle action. Recognition of this uncommon location of SFT is important because of possible confusion with other subungual tumors, including glomus tumor, fibroma and other fibrohistiocytic tumors like dermatofibrosarcoma protuberans, superficial acral fibromyxoma and cellular digital fibroma. Here in, we report a case of SFT of subungual region. We think this case is interesting because of uncommon location and may be helpful to more understand the character of this disease.
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Affiliation(s)
- Min Kyun An
- Department of Dermatology, Hallym University Sacred Heart Hospital, Anyang, Korea
| | - Eun Hye Hong
- Department of Dermatology, Hallym University Sacred Heart Hospital, Anyang, Korea
| | - Eun Byul Cho
- Department of Dermatology, Hallym University Sacred Heart Hospital, Anyang, Korea
| | - Eun Joo Park
- Department of Dermatology, Hallym University Sacred Heart Hospital, Anyang, Korea
| | - Kwang Ho Kim
- Department of Dermatology, Hallym University Sacred Heart Hospital, Anyang, Korea
| | - Kwang Joong Kim
- Department of Dermatology, Hallym University Sacred Heart Hospital, Anyang, Korea
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13
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Crepaldi BE, Soares RD, Silveira FD, Taira RI, Hirakawa CK, Matsumoto MH. Superficial Acral Fibromyxoma: Literature Review. Rev Bras Ortop 2019; 54:491-496. [PMID: 31736517 PMCID: PMC6856000 DOI: 10.1016/j.rbo.2017.10.011] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2017] [Accepted: 10/31/2017] [Indexed: 11/17/2022] Open
Abstract
Superficial acral fibromyxoma is a benign and rare tumor of the soft tissues. It usually manifests itself through a painless mass of slow growth that affects mainly males in the fifth decade of life. It usually affects the distal region, with a polypoid or dome-shaped appearance. The histological appearance is of a dermal mass without capsule, with spindle-shaped fibroblasts in a storiform or fasciculated pattern in the myxocollagenous stroma. The immunohistochemical evaluation of superficial acral fibromyxoma is usually positive for CD34 and CD99, with variable positivity for epithelial membrane antigen. The treatment consists of complete excision of the tumor mass. A review of the current literature on superficial acral fibromyxoma was performed, with an emphasis on the number of cases reported, location, diagnostic methods, histological characteristics, differential diagnoses and treatment. A total of 314 reported cases of superficial acral fibromyxoma with variable locations were found in the current literature, mainly in the toes (45.8%) and fingers (39.1%). It has a slightly superior incidence in men (61%) and enormous variability in the age range of occurrence. Superficial acral fibromyxoma is a single soft-tissue tumor that should enter the differential diagnosis of periungual and subungual acral lesions; the treatment consists of simple excision. More studies are needed to better understand this pathology, which was first described in 2001.
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Affiliation(s)
- Bruno Eiras Crepaldi
- Grupo de Cirurgia da Mão e Microcirurgia, Hospital Santa Marcelina de Itaquera, São Paulo, SP, Brasil
| | - Ruan Dalbem Soares
- Grupo de Cirurgia da Mão e Microcirurgia, Hospital Santa Marcelina de Itaquera, São Paulo, SP, Brasil
| | - Fábio Duque Silveira
- Grupo de Cirurgia da Mão e Microcirurgia, Hospital Santa Marcelina de Itaquera, São Paulo, SP, Brasil
| | - Raul Itocazo Taira
- Grupo de Cirurgia da Mão e Microcirurgia, Hospital Santa Marcelina de Itaquera, São Paulo, SP, Brasil
| | - Celso Kiyoshi Hirakawa
- Grupo de Cirurgia da Mão e Microcirurgia, Hospital Santa Marcelina de Itaquera, São Paulo, SP, Brasil
| | - Marcelo Hide Matsumoto
- Grupo de Cirurgia da Mão e Microcirurgia, Hospital Santa Marcelina de Itaquera, São Paulo, SP, Brasil
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14
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Pelletier DJ, Brown-Joel ZO, Swick BL. Periungual thumb papule on a 62-year-old man. Clin Exp Dermatol 2019; 44:670-673. [PMID: 30693568 DOI: 10.1111/ced.13873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/09/2018] [Indexed: 11/30/2022]
Affiliation(s)
- D J Pelletier
- Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
| | - Z O Brown-Joel
- Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
| | - B L Swick
- Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.,Department of Dermatology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
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15
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Hashimoto K, Nishimura S, Oka N, Tanaka H, Kakinoki R, Akagi M. Aggressive superficial acral fibromyxoma of the great toe: A case report and mini-review of the literature. Mol Clin Oncol 2018; 9:310-314. [PMID: 30112176 DOI: 10.3892/mco.2018.1669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Accepted: 07/03/2018] [Indexed: 11/06/2022] Open
Abstract
Superficial acral fibromyxoma is a very rare soft tissue tumor. Fetsch et al first described the condition in 2001. It often occurs in the fingers and toes and has slow-progressive features. Since being described, a few cases occurring in the great toe have been reported. The present study indicated a case of a 37-year-old male kickboxer with a history of a rapid-growing lump under the nail of his left great toe with bone erosion. The patient was suspected to have a soft tissue tumor under the nail, such as a glomus tumor, as a differential diagnosis. However, a malignant soft tissue tumor as a differential diagnosis could not be ruled out because of the observed bone erosion. The patient underwent surgical excision, and pathologic analysis revealed superficial acral fibromyxoma. Twenty-four months after the treatment, he had no complaints or functional disorder and no recurrence was noted. Although an unusual diagnosis, surgeons should be aware of this tumor, which requires complete surgical excision and follow-up to detect recurrence. To the best of our knowledge, this is the first reported case of superficial acral fibromyxoma with bone erosion in a great toe.
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Affiliation(s)
- Kazuhiko Hashimoto
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| | - Shunji Nishimura
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| | - Naohiro Oka
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| | - Hiroki Tanaka
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| | - Ryosuke Kakinoki
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
| | - Masao Akagi
- Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511, Japan
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16
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Choi JH, Ro JY. Cutaneous Spindle Cell Neoplasms: Pattern-Based Diagnostic Approach. Arch Pathol Lab Med 2018; 142:958-972. [DOI: 10.5858/arpa.2018-0112-ra] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Context.—
Spindle cell neoplasms arising in the skin comprise a heterogeneous group of tumors with divergent lineages. Cutaneous spindle cell neoplasms are relatively common and present surgical pathologists with diagnostic challenges. Recognition of their histopathologies is important for correct diagnosis and management. The current review presents a pattern-based diagnostic approach to common cutaneous spindle cell neoplasms that often cause diagnostic difficulties.
Objective.—
To provide a useful guide for diagnosis of cutaneous spindle cell neoplasms.
Data Sources.—
PubMed (US National Library of Medicine) reports and the authors' personal experiences are reviewed.
Conclusions.—
The authors briefly summarize the histologic features and differential diagnoses of common cutaneous spindle cell neoplasms.
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Affiliation(s)
| | - Jae Y. Ro
- From the Department of Pathology, Yeungnam University College of Medicine, Daegu City, Korea (Dr Choi); and the Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Weill Medical College of Cornell University, Houston, Texas (Dr Ro)
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17
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Lee S, Reid MAR. Superficial acral fibromyxoma: a case report with radiological review. Skeletal Radiol 2018; 47:1021-1028. [PMID: 29423724 DOI: 10.1007/s00256-018-2895-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2017] [Revised: 01/15/2018] [Accepted: 01/16/2018] [Indexed: 02/02/2023]
Abstract
Superficial acral fibromyxoma is a benign, slow-growing soft-tissue neoplasm that has a predilection for the peripheries. Although considered benign, its risk of recurrence warrants consideration in the radiological differential diagnoses of acral tumors. To our knowledge, there has been minimal literature studying the radiological features of this entity. We present a case report with a discussion focusing on its clinical and radiological findings.
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Affiliation(s)
- Shirly Lee
- Lyell McEwin Hospital, Haydown Road, Elizabeth Vale, SA, 5112, Australia.
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18
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Tenosynovial giant cell tumor with extensive myxoid change: A rare variant of a common tumor. HUMAN PATHOLOGY: CASE REPORTS 2018. [DOI: 10.1016/j.ehpc.2018.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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19
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Shih S, Khachemoune A. Acquired digital fibrokeratoma: review of its clinical and dermoscopic features and differential diagnosis. Int J Dermatol 2018; 58:151-158. [PMID: 29777543 DOI: 10.1111/ijd.14046] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Revised: 03/07/2018] [Accepted: 04/23/2018] [Indexed: 12/17/2022]
Abstract
Acquired digital fibrokeratoma (ADFK) is a rare, benign, fibrous tumor that most often occurs on fingers. It may resemble a rudimentary supernumerary digit and is often misdiagnosed as another common benign condition, such as common wart. It is typically asymptomatic and occurs as a solitary nodule less than 1 cm in diameter. Oftentimes ADFK shares clinical and/or histologic resemblance with other benign and malignant cutaneous conditions so it is crucial that careful examination is undertaken. In this article, we will discuss the clinical presentation, epidemiology, etiology, dermoscopic and histologic findings, management, and differential diagnoses for ADFK, with the hope that this review will facilitate timely diagnosis and management for this distinct condition.
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Affiliation(s)
- Shawn Shih
- University of Central Florida College of Medicine, Orlando, FL, USA
| | - Amor Khachemoune
- Veterans Affairs Medical Center, Brooklyn, NY, USA.,SUNY Downstate, Department of Dermatology, Brooklyn, NY, USA
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20
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Kara Polat A, Gore Karaali M, Turgut Erdemir AV, Koku Aksu AE, Leblebici C, Gurel MS. Superficial acral fibromyxoma in the heel with new vascular features on dermoscopy. J Cutan Pathol 2018; 45:416-418. [PMID: 29446850 DOI: 10.1111/cup.13128] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2017] [Revised: 02/08/2018] [Accepted: 02/09/2018] [Indexed: 12/14/2022]
Abstract
Superficial acral fibromyxoma (SAFM) is an uncommon mesenchymal soft tissue tumor with a predilection for the acral extremites and nail bed involvement. SAFM is diagnosed with clinicopathological and immunohistochemical examination. Awareness of this rare tumor is important because of amounts of benign and malignant neoplasms. We report a case of SAFM in a rare localization in the heel with a new finding on dermoscopy.
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Affiliation(s)
- Asude Kara Polat
- Department of Dermatology, Istanbul Training and Research Hospital, Istanbul, Turkey
| | - Muge Gore Karaali
- Department of Dermatology, Istanbul Training and Research Hospital, Istanbul, Turkey
| | - Asli V Turgut Erdemir
- Department of Dermatology, Goztepe Training and Research Hospital, Medeniyet University, Istanbul, Turkey
| | - Ayse E Koku Aksu
- Department of Dermatology, Istanbul Training and Research Hospital, Istanbul, Turkey
| | - Cem Leblebici
- Department of Pathology, Istanbul Training and Research Hospital, Istanbul, Turkey
| | - Mehmet S Gurel
- Department of Dermatology, Goztepe Training and Research Hospital, Medeniyet University, Istanbul, Turkey
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21
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Abstract
Superficial acral fibromyxoma (SAFM) is a rare soft tissue tumor that frequently involves the periungual and subungual regions of acral surfaces. Macroscopically, it appears as a flesh-colored dome-shaped solitary mass; microscopically, it consists of a moderately cellular proliferation of spindle-shaped fibroblast-like cells embedded in a myxocollagenous stroma and arranged in a loose storiform and focally fascicular pattern. The tumor cells are immunoreactive for CD34, epithelial membrane antigen, CD99, and CD10. In this study, we describe a case of SAFM on the fourth toe with predominantly myxoid stroma. Our case, in contrast of those reported in the literature, showed an unusual location for the myxoid variant. SAFM is often not recognized; it may resemble some benign and malignant mesenchymal neoplasm. The gold standard treatment is surgery. The tumor was completely excised, and no recurrence was evident at 1-year follow-up. Awareness of this entity facilitates its diagnosis and management, avoiding unwarranted concerns and additional procedures for the patient.
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22
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DeFroda SF, Starr A, Katarincic JA. Superficial acral fibromyxoma: A case report. J Orthop 2016; 14:23-25. [PMID: 27821996 DOI: 10.1016/j.jor.2016.10.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Accepted: 10/16/2016] [Indexed: 11/16/2022] Open
Abstract
There are a wide variety of benign and malignant soft tissue tumors. Digital superficial acral fibromyxoma is a rare, benign, expansive soft tissue growth which often involves the distal aspect of the digit and the nail plate. While it is often asymptomatic in nature, it may cause a great deal of distress due to involvement of the nail and the resultant cosmetic deformity. Unlike wide excision or amputation needed for more aggressive tumor types, local excision is often curative. We review the literature and describe the presentation of this unique pathology to our clinic in an otherwise healthy 33-year-old female.
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Affiliation(s)
- Steven F DeFroda
- Department of Orthopaedics, Alpert Medical School of Brown University, Providence, RI, United States
| | - Adam Starr
- Department of Orthopaedics, Alpert Medical School of Brown University, Providence, RI, United States
| | - Julia A Katarincic
- Department of Orthopaedics Hand, Upper Extremity & Microvascular Pediatric Orthopedics, Alpert Medical School of Brown University, Providence, RI, United States
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Superficial Acral Fibromyxoma (Digital Fibromyxoma): A Novel Treatment Approach Using Mohs Micrographic Surgery for a Recurrence-Prone Digital Tumor. Dermatol Surg 2016; 42:897-9. [PMID: 27191786 DOI: 10.1097/dss.0000000000000735] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Müller CSL, Kim YJ, Koch K, Schneider G, Pföhler C, Kohn D, Vogt T, Baumhoer D. First report of an aneurysmal bone cyst presenting as subungual mass. J Cutan Pathol 2016; 43:711-6. [PMID: 27106295 DOI: 10.1111/cup.12722] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2015] [Revised: 01/18/2016] [Accepted: 04/20/2016] [Indexed: 11/29/2022]
Abstract
Painful subungual tumor masses in the toes usually emerge as glomus tumors or subungual exostoses. We present a patient with an aneurysmal bone cyst located subungually in whom the diagnosis was delayed due to inadequate diagnostic procedures, which led to marked destruction of the distal phalanx of the great toe of the right foot. After biopsy, the distal phalanx could not be preserved due to critical soft tissue involvement and the size of the process. Thus, we describe this rare entity to encourage clinicians to establish the diagnosis by biopsy of a tissue swelling of unclear origin and duration that does not resolve after a short time. Imaging examinations are useful in demonstrating periosteal involvement and extension of the lesion and can be helpful in the diagnostic algorithm. An interdisciplinary approach is a top priority to ensure optimal treatment.
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Affiliation(s)
| | - Yoo-Jin Kim
- Institute of Pathology, Saarland University Medical School, Homburg/Saar, Germany
| | - Katrin Koch
- Department of Orthopedic Surgery, Saarland University Medical School, Homburg/Saar, Germany
| | - Günther Schneider
- Department of Diagnostic and Interventional Radiology, Saarland University Medical School, Homburg/Saar, Germany
| | - Claudia Pföhler
- Department of Dermatology, Saarland University Medical School, Homburg/Saar, Germany
| | - Dieter Kohn
- Department of Orthopedic Surgery, Saarland University Medical School, Homburg/Saar, Germany
| | - Thomas Vogt
- Department of Dermatology, Saarland University Medical School, Homburg/Saar, Germany
| | - Daniel Baumhoer
- Bone Tumor Reference Center at the Institute of Pathology, University Hospital Basel, Basel, Switzerland
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25
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Riddle ND, Gardner JM. The pale blue slide: avoiding myx-ups and mishaps in cutaneous myxoid tumors. ACTA ACUST UNITED AC 2016. [DOI: 10.1016/j.mpdhp.2016.04.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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26
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Grigore LE, Baican CI, Botar-Jid C, Rogojan L, Letca AF, Ungureanu L, Cosgarea R. Clinico-pathologic, dermoscopic and ultrasound examination of a rare acral tumour involving the nail - case report and review of the literature. ACTA ACUST UNITED AC 2016; 89:160-4. [PMID: 27004040 PMCID: PMC4777460 DOI: 10.15386/cjmed-517] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2015] [Accepted: 08/17/2015] [Indexed: 12/21/2022]
Abstract
There is a large spectrum of tumors presenting as nodular lesions that may affect the subungual space. We report the case of a 62-year-old woman presenting with a rapidly growing nodular lesion under the nail of the first left toe. Non-invasive examinations using dermoscopy, ultrasonography and elastography were performed for the preoperative assessment of the lesion. The biopsy of the lesion revealed superficial acral fibromyxoma, a benign tumor with predisposition for acral sites. The patient underwent radical surgery with wide resection margins. This is the first case report of a superficial acral fibromyxoma affecting the subungual region characterized by dermoscopic, ultrasonographic and elastographic features. We also performed a short review of the literature.
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Affiliation(s)
- Lavinia Elena Grigore
- Department of Dermatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Corina Iulia Baican
- Department of Dermatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Carolina Botar-Jid
- Department of Radiology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Liliana Rogojan
- Histopathology Department, County Emergency Hospital, Cluj-Napoca, Romania
| | - Alina Florentina Letca
- Department of Dermatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Loredana Ungureanu
- Department of Dermatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Rodica Cosgarea
- Department of Dermatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
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