Acral Fibrochondromyxoid Tumor Presenting as Enlarging Nodule Involving the Distal Fingertip and Hyponychium: A Case Report

An acral fibrochondromyxoid tumor is a newly described type of benign soft tissue neoplasm that presents as a single nodular lesion on a finger or toe. There has only been one previous report on this tumor, a case series that described the initial pathologic and clinical findings; however, details o...

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Main Authors: Rhiannon C. Miller, Cynthia M. Magro, Laura E Melnick, Shari R. Lipner
Format: Article
Language:English
Published: Karger Publishers 2023-03-01
Series:Case Reports in Dermatology
Subjects:
Online Access:https://www.karger.com/Article/FullText/529568
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author Rhiannon C. Miller
Cynthia M. Magro
Laura E Melnick
Shari R. Lipner
author_facet Rhiannon C. Miller
Cynthia M. Magro
Laura E Melnick
Shari R. Lipner
author_sort Rhiannon C. Miller
collection DOAJ
description An acral fibrochondromyxoid tumor is a newly described type of benign soft tissue neoplasm that presents as a single nodular lesion on a finger or toe. There has only been one previous report on this tumor, a case series that described the initial pathologic and clinical findings; however, details on clinical history, physical examination, and outcome are unknown. In this report, we describe a case of a 39-year-old male who presented with a painful enlarging mass involving the distal right 3rd finger and hyponychium. Punch biopsy was performed and the lesion was identified as an acral fibrochondromyxoid tumor on microscopic examination. X-ray showed no bony involvement. The tumor was successfully excised with complete resolution of pain symptoms. We discuss the clinical features and immunohistochemistry findings of our case in the context of the current limited knowledge about this very rare tumor.
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spelling doaj.art-b05e49d0e3d349d1ac4b2c4f8e3485612023-04-13T08:16:40ZengKarger PublishersCase Reports in Dermatology1662-65672023-03-01151566110.1159/000529568529568Acral Fibrochondromyxoid Tumor Presenting as Enlarging Nodule Involving the Distal Fingertip and Hyponychium: A Case ReportRhiannon C. Miller0https://orcid.org/0000-0002-2391-2286Cynthia M. Magro1Laura E Melnick2Shari R. Lipner3https://orcid.org/0000-0001-5913-9304Department of Dermatology, Weill Cornell Medicine, New York, NY, USADepartment of Pathology, Weill Cornell Medicine, New York, NY, USADepartment of Dermatology, Weill Cornell Medicine, New York, NY, USADepartment of Dermatology, Weill Cornell Medicine, New York, NY, USAAn acral fibrochondromyxoid tumor is a newly described type of benign soft tissue neoplasm that presents as a single nodular lesion on a finger or toe. There has only been one previous report on this tumor, a case series that described the initial pathologic and clinical findings; however, details on clinical history, physical examination, and outcome are unknown. In this report, we describe a case of a 39-year-old male who presented with a painful enlarging mass involving the distal right 3rd finger and hyponychium. Punch biopsy was performed and the lesion was identified as an acral fibrochondromyxoid tumor on microscopic examination. X-ray showed no bony involvement. The tumor was successfully excised with complete resolution of pain symptoms. We discuss the clinical features and immunohistochemistry findings of our case in the context of the current limited knowledge about this very rare tumor.https://www.karger.com/Article/FullText/529568fingernailhyponychiumacral fibrochondromyxoid tumornail tumoracral skinglomus tumorimmunohistochemistrychondromamyxoidverruca vulgaris
spellingShingle Rhiannon C. Miller
Cynthia M. Magro
Laura E Melnick
Shari R. Lipner
Acral Fibrochondromyxoid Tumor Presenting as Enlarging Nodule Involving the Distal Fingertip and Hyponychium: A Case Report
Case Reports in Dermatology
fingernail
hyponychium
acral fibrochondromyxoid tumor
nail tumor
acral skin
glomus tumor
immunohistochemistry
chondroma
myxoid
verruca vulgaris
title Acral Fibrochondromyxoid Tumor Presenting as Enlarging Nodule Involving the Distal Fingertip and Hyponychium: A Case Report
title_full Acral Fibrochondromyxoid Tumor Presenting as Enlarging Nodule Involving the Distal Fingertip and Hyponychium: A Case Report
title_fullStr Acral Fibrochondromyxoid Tumor Presenting as Enlarging Nodule Involving the Distal Fingertip and Hyponychium: A Case Report
title_full_unstemmed Acral Fibrochondromyxoid Tumor Presenting as Enlarging Nodule Involving the Distal Fingertip and Hyponychium: A Case Report
title_short Acral Fibrochondromyxoid Tumor Presenting as Enlarging Nodule Involving the Distal Fingertip and Hyponychium: A Case Report
title_sort acral fibrochondromyxoid tumor presenting as enlarging nodule involving the distal fingertip and hyponychium a case report
topic fingernail
hyponychium
acral fibrochondromyxoid tumor
nail tumor
acral skin
glomus tumor
immunohistochemistry
chondroma
myxoid
verruca vulgaris
url https://www.karger.com/Article/FullText/529568
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