1
|
Perrin C, Coutts M, Boukari F, Ambrosetti D. Onychocytic Matricoma: A Clinical, Dermoscopic, and Pathological Analysis of 14 Cases. Am J Dermatopathol 2024; 46:259-270. [PMID: 38513115 PMCID: PMC11027982 DOI: 10.1097/dad.0000000000002674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
ABSTRACT Onychocytic matricoma (OCM) is a benign neoplasm of the nail matrix. Only 18 cases of this tumor have been reported in the literature to date. We retrospectively analyzed the clinical features of 14 patients with OCM. The most common clinical feature was longitudinal xanthopachyonychia (n = 9), followed by longitudinal leukopachyonychia (=3) and longitudinal pachymelanonychia (n = 2). The most common clinical findings identified following dermoscopy and analysis at high magnification of classical photographs were free-edge thickening of the nail plate without pitting (n = 14), longitudinal ridging (n = 7), round white clods (n = 7), white dots (n = 7), and filiform hemorrhages (n = 7), followed by oval and linear white clods (n = 5), fuzzy lateral border (n = 5), and red-purple blood clods (n = 3). Nail clipping histopathology showed a thickened nail plate with multiple, small, round-to-oval spaces. The tumor expressed immunopositivity for LEF-1. Dermoscopy of the nail plate and nail clipping histology provides useful information with regards to the differential diagnosis with subungual squamous cell carcinoma and nail melanoma. Ex vivo-in vivo correlation facilitates a better dermoscopic assessment of this unique underrecognized disease. However, the differential diagnosis between OCM and onychocytic carcinoma requires biopsy of the tumor. LEF-1 as an onychogenic marker can be used to resolve the differential diagnosis between OCM and subungual longitudinal acanthoma/seborrheic keratosis.
Collapse
Affiliation(s)
- Christophe Perrin
- Dermatologists, Laboratoire Central d’Anatomie Pathologique, Nice University Hospital, University of Côte d’Azur (UCA), Nice, France
- Nail's Dermatology Consultations, Cannes, France
| | - Michael Coutts
- Department of Cellular Pathology, Maidstone Hospital, Kent, United Kingdom; and
| | - Feriel Boukari
- Department of Dermatology, Nice University Hospital, University of Côte d’Azur (UCA), Nice, France
| | - Damien Ambrosetti
- Dermatologists, Laboratoire Central d’Anatomie Pathologique, Nice University Hospital, University of Côte d’Azur (UCA), Nice, France
| |
Collapse
|
2
|
Kameda E, Togawa Y, Maru Y, Matsue H. Ungual seborrheic keratosis with longitudinal melanonychia: A case report. J Dermatol 2022; 49:775-778. [DOI: 10.1111/1346-8138.16392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 03/27/2022] [Accepted: 03/29/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Eisuke Kameda
- Department of Dermatology, Graduate School of Medicine Chiba University Chiba Japan
- Divison of Dermatology Funabashi Municipal Medical Center Chiba Japan
| | - Yaei Togawa
- Department of Dermatology, Graduate School of Medicine Chiba University Chiba Japan
| | - Yugo Maru
- Department of Dermatology, Graduate School of Medicine Chiba University Chiba Japan
- Divison of Dermatology Funabashi Municipal Medical Center Chiba Japan
| | - Hiroyuki Matsue
- Department of Dermatology, Graduate School of Medicine Chiba University Chiba Japan
| |
Collapse
|
3
|
El-Komy MHM, Gaballa B, Abdel-Halim MR. Longitudinal Erythro-Leukoxanthonychia Developing after PUVA Therapy. Skin Appendage Disord 2022; 8:165-168. [PMID: 35419421 PMCID: PMC8928178 DOI: 10.1159/000519203] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 08/05/2021] [Indexed: 11/19/2022] Open
Affiliation(s)
| | - Basma Gaballa
- Dermatology Department, Faculty of Medicine/Cairo University/Kasr Al-Ainy Hospital, Cairo, Egypt
| | | |
Collapse
|
4
|
Baran R, Moulonguet I, Cannata G. Longitudinal subungual acanthoma. J Eur Acad Dermatol Venereol 2021; 36:e287-e288. [PMID: 34753213 DOI: 10.1111/jdv.17800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 10/19/2021] [Accepted: 11/03/2021] [Indexed: 11/29/2022]
Affiliation(s)
- R Baran
- Nail Disease Centre, University of Franche, Comté Nail Disease Centre 42, Cannes, France
| | | | - G Cannata
- Dermatology, Imperia Hospital, Imperia, Italy
| |
Collapse
|
5
|
Haneke E, Iorizzo M, Gabutti M, Beltraminelli H. Malignant onychopapilloma. J Cutan Pathol 2020; 48:174-179. [PMID: 33067854 DOI: 10.1111/cup.13904] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 09/21/2020] [Accepted: 09/29/2020] [Indexed: 11/29/2022]
Abstract
Onychopapilloma is a fairly common lesion that is clinically typical enough to make the diagnosis. It is unique in that it stretches from the distal matrix all along the nailbed to the hyponychium. A case is described that developed pain eventually resulting in total excision. Histopathology revealed a malignant onychopapilloma. The differential diagnosis of this lesion is discussed.
Collapse
Affiliation(s)
- Eckart Haneke
- Department of Dermatology, Inselspital, University of Bern, Bern, Switzerland.,Dermatology Practice Dermaticum, Freiburg, Germany.,Centro Dermatología Epidermis, Inst CUF, Senhora da Hora, Grande Porto, Portugal.,Department of Dermatology, University Hospital, Ghent, Belgium
| | | | - Max Gabutti
- Department of Dermatology, Inselspital, University of Bern, Bern, Switzerland
| | | |
Collapse
|
6
|
d'Almeida LFV, Jeunon T, Leverone AP, Nakamura R. Onychocytic matricoma. An Bras Dermatol 2019; 94:214-216. [PMID: 31090828 PMCID: PMC6486071 DOI: 10.1590/abd1806-4841.20197865] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2017] [Accepted: 03/16/2018] [Indexed: 11/22/2022] Open
Abstract
Onychocytic matricoma is a newly described tumor of the nail matrix. Clinically, it presents with localized thickening of the nail plate and melanonychia. Histologically, it represents a benign acanthoma of onychocytes. There are 8 cases reported in the literature. A 12-year-old girl presented with localized melanonychia and concurrent thickening of the nail plate restricted to the area of pigmentation affecting the right thumb, with no history of trauma or pain. We report a case of this rare tumor occurring in late childhood and provide a comprehensive review of its clinical presentation and differential diagnosis. Both clinicians and dermatopathologists should be aware of the presentation of onychocytic matricoma and include it in their scope of diagnosis of longitudinal nail bands.
Collapse
Affiliation(s)
- Luiza Ferreira Vieira d'Almeida
- Center for Nail Research, Instituto de Dermatologia
Professor Rubem David Azulay, Santa Casa da Misericórdia do Rio de Janeiro,
Rio de Janeiro (RJ), Brazil
| | - Thiago Jeunon
- Department of Dermatopathology, Dermatology Service,
Hospital Federal de Bonsucesso, Bonsucesso (RJ), Brazil
| | - Andreia Pizarro Leverone
- Center for Nail Research, Instituto de Dermatologia
Professor Rubem David Azulay, Santa Casa da Misericórdia do Rio de Janeiro,
Rio de Janeiro (RJ), Brazil
| | - Robertha Nakamura
- Center for Nail Research, Instituto de Dermatologia
Professor Rubem David Azulay, Santa Casa da Misericórdia do Rio de Janeiro,
Rio de Janeiro (RJ), Brazil
| |
Collapse
|
7
|
Aranguren-López I, Marquina-Iñarrairaegui M, Lobo-Morán C, Panés-Rodríguez A. Longitudinal leukoxanthonychia of the thumb. Int J Dermatol 2018; 58:667-668. [PMID: 30549008 DOI: 10.1111/ijd.14345] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2018] [Revised: 10/21/2018] [Accepted: 11/23/2018] [Indexed: 11/26/2022]
Affiliation(s)
| | | | - Carmen Lobo-Morán
- Department of Pathology, Hospital Universitario Donostia, Donostia, Spain
| | | |
Collapse
|
8
|
Song H, Qu F, Dang N, Sun X. Onychocytic Matricoma: Report of an Asian Case. Ann Dermatol 2017; 29:355-357. [PMID: 28566918 PMCID: PMC5438948 DOI: 10.5021/ad.2017.29.3.355] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Revised: 05/03/2016] [Accepted: 06/03/2016] [Indexed: 11/08/2022] Open
Affiliation(s)
- Haiyan Song
- Department of Dermatology, Jinan Central Hospital affiliated to Shandong University, Jinan, China.,Shandong Provincial Institute of Dermatology and Venereology, Jinan, China
| | - Fei Qu
- Department of Pathology, Jinan Central Hospital affiliated to Shandong University, Jinan, China
| | - Ningning Dang
- Department of Dermatology, Jinan Central Hospital affiliated to Shandong University, Jinan, China
| | - Xuewu Sun
- Department of Plastic Surgery, Jinan Central Hospital affiliated to Shandong University, Jinan, China
| |
Collapse
|
9
|
Lesort C, Debarbieux S, Duru G, Dalle S, Poulhalon N, Thomas L. Dermoscopic Features of Onychomatricoma: A Study of 34 Cases. Dermatology 2015; 231:177-83. [DOI: 10.1159/000431315] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2015] [Accepted: 05/11/2015] [Indexed: 11/19/2022] Open
|