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Tonogai I, Yamasaki Y, Nishisho T, Sairyo K. Republication of "Mucous Cyst at the Interphalangeal Joint of the First Toe Caused by Contact Pressure With the Second Toe due to Hallux Valgus: A Case Report". FOOT & ANKLE ORTHOPAEDICS 2023; 8:24730114231192974. [PMID: 37566681 PMCID: PMC10408337 DOI: 10.1177/24730114231192974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/13/2023] Open
Abstract
A 77-year-old woman presented with a mucous cyst on the lateral aspect of the interphalangeal joint of the first toe caused by contact pressure with the second toe from hallux valgus. She complained of discomfort and discharge from the left first toe for approximately 4 months. Physical examination showed the second toe pressing strongly against the first toe due to hallux valgus and discharge from the skin on the lateral aspect of the interphalangeal joint of the first toe. Magnetic resonance imaging showed a cystic lesion at the same level. The patient underwent a modified scarf osteotomy of the first metatarsal for hallux valgus to resolve the contact pressure between the toes-considered the cause of the mucous cyst-and resection of mucous cyst. Forefoot weight bearing was allowed 6 weeks after surgery. As of 1 year after surgery, she has had no recurrence of the cyst. The score on the Japanese Society for Surgery of the Foot hallux metatarsophalangeal-interphalangeal scale improved from 59/100 points to 92/100. This outcome suggests that hallux valgus correction should be considered when a mucous cyst is associated with contact pressure due to a hallux valgus deformity. To the best of our knowledge, there are no previous reports of a mucous cyst caused by contact pressure between the first toe and second toe due to hallux valgus.
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Affiliation(s)
- Ichiro Tonogai
- Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, Japan
| | - Yuhei Yamasaki
- Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, Japan
| | - Toshihiko Nishisho
- Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, Japan
| | - Koichi Sairyo
- Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, Japan
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Rongioletti F. Primary paediatric cutaneous mucinoses. Br J Dermatol 2019; 182:29-38. [DOI: 10.1111/bjd.18004] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/10/2019] [Indexed: 12/11/2022]
Affiliation(s)
- F. Rongioletti
- Unit of Dermatology Department of Medical Sciences and Public Health University of Cagliari Cagliari Italy
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Tonogai I, Yamasaki Y, Nishisho T, Sairyo K. Mucous Cyst at the Interphalangeal Joint of the First Toe Caused by Contact Pressure With the Second Toe due to Hallux Valgus. FOOT & ANKLE ORTHOPAEDICS 2018. [DOI: 10.1177/2473011418775101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
A 77-year-old woman presented with a mucous cyst on the lateral aspect of the interphalangeal joint of the first toe caused by contact pressure with the second toe from hallux valgus. She complained of discomfort and discharge from the left first toe for approximately 4 months. Physical examination showed the second toe pressing strongly against the first toe due to hallux valgus and discharge from the skin on the lateral aspect of the interphalangeal joint of the first toe. Magnetic resonance imaging showed a cystic lesion at the same level. The patient underwent a modified scarf osteotomy of the first metatarsal for hallux valgus to resolve the contact pressure between the toes— considered the cause of the mucous cyst—and resection of mucous cyst. Forefoot weight bearing was allowed 6 weeks after surgery. As of 1 year after surgery, she has had no recurrence of the cyst. The score on the Japanese Society for Surgery of the Foot hallux metatarsophalangeal-interphalangeal scale improved from 59/100 points to 92/100. This outcome suggests that hallux valgus correction should be considered when a mucous cyst is associated with contact pressure due to a hallux valgus deformity. To the best of our knowledge, there are no previous reports of a mucous cyst caused by contact pressure between the first toe and second toe due to hallux valgus.
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Affiliation(s)
- Ichiro Tonogai
- Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, Japan
| | - Yuhei Yamasaki
- Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, Japan
| | - Toshihiko Nishisho
- Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, Japan
| | - Koichi Sairyo
- Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, Japan
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Kura MM, Jindal SR. Solitary superficial acral angiomyxoma: an infrequently reported soft tissue tumor. Indian J Dermatol 2014; 59:529. [PMID: 25284878 PMCID: PMC4171941 DOI: 10.4103/0019-5154.139893] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Superficial angiomyxomas (SA) are clinically variable, infrequent, benign skin lesions. They are usually located on the trunk, but can also appear on the lower limbs, head, and neck. The present case, hence, is unusual, because the lesion developed on the toe. They are diagnosed histologically, and are characterized by being poorly delimited tumors with the presence of interstitial myxoid material and scanty cellularity. We discuss the clinical and histological features of digital SA as well as a brief outline of other myxoid lesions.
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Affiliation(s)
- Mahendra M Kura
- Department of Dermatology, Venereology and Leprosy, Grant Medical College, Mumbai, India
| | - Saurabh R Jindal
- Department of Dermatology, Venereology and Leprosy, Grant Medical College, Mumbai, India
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Bhat AK, Acharya AM, Rosario P, Anuradha CK, Rao L. Superficial angiomyxoma of the thumb mimicking a malignant bone tumor: case report. J Hand Surg Am 2014; 39:937-9. [PMID: 24582847 DOI: 10.1016/j.jhsa.2014.01.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2013] [Revised: 01/12/2014] [Accepted: 01/14/2014] [Indexed: 02/02/2023]
Abstract
Superficial angiomyxoma is a distinctive cutaneous soft tissue neoplasm commonly involving dermal and subcutaneous tissues and showing a prominent angiomyxoid matrix interspersed with numerous blood vessels. We report a case of superficial angiomyxoma in a 70-year-old man who presented with a fungating swelling on the distal phalanx of the thumb mimicking a malignant tumor. The diagnosis of superficial angiomyxoma was made based on histopathology and immunohistochemistry. We report this lesion because of its rare presentation with extensive distal phalangeal osteolysis mimicking a malignant bone tumor.
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Affiliation(s)
- Anil K Bhat
- Hand and Microsurgery Unit, Department of Orthopaedics, Kasturba Medical College Hospital, Manipal University, Manipal, India; Department of Pathology, Kasturba Medical College Hospital, Manipal University, Manipal, India
| | - Ashwath M Acharya
- Hand and Microsurgery Unit, Department of Orthopaedics, Kasturba Medical College Hospital, Manipal University, Manipal, India; Department of Pathology, Kasturba Medical College Hospital, Manipal University, Manipal, India.
| | - Prashant Rosario
- Hand and Microsurgery Unit, Department of Orthopaedics, Kasturba Medical College Hospital, Manipal University, Manipal, India; Department of Pathology, Kasturba Medical College Hospital, Manipal University, Manipal, India
| | - C K Anuradha
- Hand and Microsurgery Unit, Department of Orthopaedics, Kasturba Medical College Hospital, Manipal University, Manipal, India; Department of Pathology, Kasturba Medical College Hospital, Manipal University, Manipal, India
| | - Lakshmi Rao
- Hand and Microsurgery Unit, Department of Orthopaedics, Kasturba Medical College Hospital, Manipal University, Manipal, India; Department of Pathology, Kasturba Medical College Hospital, Manipal University, Manipal, India
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Falidas E, Rallis E, Vlachos C, Konstantoudakis S, Villias C. Superficial subungual angiomyxoma: case report and review of the literature. J Cutan Med Surg 2011; 15:180-2. [PMID: 21561589 DOI: 10.2310/7750.2011.10036] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Abstract
Superficial angiomyxoma is a rare benign multilobulated cutaneous tumor, comprising a prominent myxoid matrix and numerous blood vessels. The tumor usually presents with a nodular lesion on the trunk, head, and neck. We describe a case of superficial angiomyxoma unusually located on the scrotum of a 4-year-old boy.
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Affiliation(s)
- Motonobu Nakamura
- Department of Dermatology, University of Occupational and Environmental Health, Kitakyushu, Japan.
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Abstract
Background: Digital mucous cyst (DMC) is a common benign condition, but consensus has not been reached regarding its pathogenesis and treatment. Objective: This review provides a concise overview of DMCs. Methods: The review presents the literature pertaining to the etiology, pathogenesis, classification, clinical features, epidemiology, differential diagnoses, diagnosis, and management of DMCs. Results: DMCs have a predilection for middle-aged patients, a good prognosis, and a high recurrence rate. DMCs may occur in one of three locations on the distal digit. They arise owing to a metaplastic or degenerative process. Preexisting osteoarthritis is common and may be an etiologic factor in patients with DMCs. A number of conservative and surgical treatments are available depending on the structures and locations involved. Conclusion: Studies with greater sample size and longer follow-up would enrich current knowledge of the benefits, recurrences, and complications for each treatment modality.
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Affiliation(s)
- Kayi Li
- From the Faculty of Medicine, University of Toronto, and The Dermatology Centre, Toronto, ON
| | - Benjamin Barankin
- From the Faculty of Medicine, University of Toronto, and The Dermatology Centre, Toronto, ON
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