Superficial Acral Fibromyxoma: Literature Review

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 histol...

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Main Authors: Bruno Eiras Crepaldi, Ruan Dalbem Soares, Fábio Duque Silveira, Raul Itocazo Taira, Celso Kiyoshi Hirakawa, Marcelo Hide Matsumoto
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda.
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/pdf/rbort/v54n5/1982-4378-rbort-54-05-0491.pdf
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author Bruno Eiras Crepaldi
Ruan Dalbem Soares
Fábio Duque Silveira
Raul Itocazo Taira
Celso Kiyoshi Hirakawa
Marcelo Hide Matsumoto
author_facet Bruno Eiras Crepaldi
Ruan Dalbem Soares
Fábio Duque Silveira
Raul Itocazo Taira
Celso Kiyoshi Hirakawa
Marcelo Hide Matsumoto
author_sort Bruno Eiras Crepaldi
collection DOAJ
description 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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spelling doaj.art-b4c4377e04d84860bdf111bc1392b6eb2024-04-03T08:57:22ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-437810.1016/j.rbo.2017.10.011Superficial Acral Fibromyxoma: Literature ReviewBruno Eiras CrepaldiRuan Dalbem SoaresFábio Duque SilveiraRaul Itocazo TairaCelso Kiyoshi HirakawaMarcelo Hide MatsumotoAbstract 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.http://www.scielo.br/pdf/rbort/v54n5/1982-4378-rbort-54-05-0491.pdfsoft-tissue neoplasmsfibroma/pathologyfibroma/therapyskin neoplasms
spellingShingle Bruno Eiras Crepaldi
Ruan Dalbem Soares
Fábio Duque Silveira
Raul Itocazo Taira
Celso Kiyoshi Hirakawa
Marcelo Hide Matsumoto
Superficial Acral Fibromyxoma: Literature Review
Revista Brasileira de Ortopedia
soft-tissue neoplasms
fibroma/pathology
fibroma/therapy
skin neoplasms
title Superficial Acral Fibromyxoma: Literature Review
title_full Superficial Acral Fibromyxoma: Literature Review
title_fullStr Superficial Acral Fibromyxoma: Literature Review
title_full_unstemmed Superficial Acral Fibromyxoma: Literature Review
title_short Superficial Acral Fibromyxoma: Literature Review
title_sort superficial acral fibromyxoma literature review
topic soft-tissue neoplasms
fibroma/pathology
fibroma/therapy
skin neoplasms
url http://www.scielo.br/pdf/rbort/v54n5/1982-4378-rbort-54-05-0491.pdf
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AT fabioduquesilveira superficialacralfibromyxomaliteraturereview
AT raulitocazotaira superficialacralfibromyxomaliteraturereview
AT celsokiyoshihirakawa superficialacralfibromyxomaliteraturereview
AT marcelohidematsumoto superficialacralfibromyxomaliteraturereview