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Superficial Fibromatosis Mimicking Glomus Tumor of the Second Toe.

Jo HJ, Chae SU, Kim GD, Kim YJ, Choi DH, Park JI - Clin Orthop Surg (2015)

Bottom Line: While fibromatosis can occur at various sites throughout the body, it is very rarely seen in the toe.Here, we are the first to report a case of superficial fibromatosis mimicking a glomus tumor in the subungual space of the second toe.The presentation of this condition shows the possibility of encountering uncommon superficial fibromatosis in the distal phalanx of the toe, and suggests that superficial fibromatosis should be included in the differential diagnosis of a glomus tumor in the toe.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, Gunsan Medical Center of Wonkwang University Hospital, Gunsan, Korea.

ABSTRACT
Various types of tumor can occur in the subungual space, including glomus tumors, subungual exostosis, hemangioma, epidermal cysts, and malignant tumors. While fibromatosis can occur at various sites throughout the body, it is very rarely seen in the toe. Here, we are the first to report a case of superficial fibromatosis mimicking a glomus tumor in the subungual space of the second toe. The presentation of this condition shows the possibility of encountering uncommon superficial fibromatosis in the distal phalanx of the toe, and suggests that superficial fibromatosis should be included in the differential diagnosis of a glomus tumor in the toe.

No MeSH data available.


Related in: MedlinePlus

Intraoperative photographs showing the nail bed longitudinal incision and reattachment of the removed nail as a nail bed protector.
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Figure 4: Intraoperative photographs showing the nail bed longitudinal incision and reattachment of the removed nail as a nail bed protector.

Mentions: Surgery was performed in the supine position under spinal anesthesia with a thigh tourniquet, removing the nail from its bed to access the tumor, and a subsequent longitudinal incision was performed directly to the nail bed. A non-encapsulated, grey-white, rubbery mass was isolated with 2.5 loupe magnification (Fig. 3). It was totally marginally excised using a curette, along with the involved bone. The postoperative wound was closed and the removed nail was reattached to protect the nail bed (Fig. 4). The patient was supplied with a postoperative shoe during the wound healing period. Four weeks postoperatively, the patient was able to ambulate without symptoms. At the 1-year follow-up appointment, his symptoms had completely resolved and there was no sign of local recurrence.


Superficial Fibromatosis Mimicking Glomus Tumor of the Second Toe.

Jo HJ, Chae SU, Kim GD, Kim YJ, Choi DH, Park JI - Clin Orthop Surg (2015)

Intraoperative photographs showing the nail bed longitudinal incision and reattachment of the removed nail as a nail bed protector.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4553296&req=5

Figure 4: Intraoperative photographs showing the nail bed longitudinal incision and reattachment of the removed nail as a nail bed protector.
Mentions: Surgery was performed in the supine position under spinal anesthesia with a thigh tourniquet, removing the nail from its bed to access the tumor, and a subsequent longitudinal incision was performed directly to the nail bed. A non-encapsulated, grey-white, rubbery mass was isolated with 2.5 loupe magnification (Fig. 3). It was totally marginally excised using a curette, along with the involved bone. The postoperative wound was closed and the removed nail was reattached to protect the nail bed (Fig. 4). The patient was supplied with a postoperative shoe during the wound healing period. Four weeks postoperatively, the patient was able to ambulate without symptoms. At the 1-year follow-up appointment, his symptoms had completely resolved and there was no sign of local recurrence.

Bottom Line: While fibromatosis can occur at various sites throughout the body, it is very rarely seen in the toe.Here, we are the first to report a case of superficial fibromatosis mimicking a glomus tumor in the subungual space of the second toe.The presentation of this condition shows the possibility of encountering uncommon superficial fibromatosis in the distal phalanx of the toe, and suggests that superficial fibromatosis should be included in the differential diagnosis of a glomus tumor in the toe.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, Gunsan Medical Center of Wonkwang University Hospital, Gunsan, Korea.

ABSTRACT
Various types of tumor can occur in the subungual space, including glomus tumors, subungual exostosis, hemangioma, epidermal cysts, and malignant tumors. While fibromatosis can occur at various sites throughout the body, it is very rarely seen in the toe. Here, we are the first to report a case of superficial fibromatosis mimicking a glomus tumor in the subungual space of the second toe. The presentation of this condition shows the possibility of encountering uncommon superficial fibromatosis in the distal phalanx of the toe, and suggests that superficial fibromatosis should be included in the differential diagnosis of a glomus tumor in the toe.

No MeSH data available.


Related in: MedlinePlus