皮肤性病诊疗学杂志2024，Vol.31Issue(2)：109-112,4.DOI:10.3969/j.issn.1674-8468.2024.02.007
甲下浅表性肢端纤维粘液瘤1例
Superficial acral fibromyxoma:A case report
张悦 1宋津茹 2刘若昀 1刘柳宏 2何仁亮 2杨斌1
作者信息
- 1. 广东医科大学,广东 湛江 524023||南方医科大学皮肤病医院,广东 广州 510091
- 2. 南方医科大学皮肤病医院,广东 广州 510091
- 折叠
摘要
Abstract
We report a case of subungual superficial acral fibromyxoma in a 74-year-old woman,who had a subungual neoplasm on the right big toe for 2 months.Dermatological examina-tion revealed a red tumor about 3.0 cm × 2.0 cm × 1.0 cm in size at the nail bed of the right big toenail and onychomadesis.Ultrasound examination of the tumor showed a hypoechoic mass about 21 mm × 20 mm in size with an uneven internal echoes of mixed cysts and solids under the right big toe.Digital Radiography of the right foot showed swollen soft tissue of the right big toe,with no changes in bone.Histological changes included epidermal hyperkeratosis and parakeratosis,and partial thickening of spinous layers along with edema of the superficial dermis.There were in-creases in small blood vessels,fibrous tissue,spindle cells and stellate cells,in addition to perivascular infiltrates of lymphocytes.Alcian blue staining was positive.Immunohistochemistry showed positive for CD34 and Vimentin,and negative for S-100,Desmin,Actin,CD31 and HHV-8.Diagnosis was superficial acral fibromyxoma.The nail bed was healed well after surgical removal of the tumor,and no recurrence was observed.关键词
浅表性肢端纤维粘液瘤/甲下肿瘤/手术切除Key words
superficial acral fibromyxoma/subungual tumor/surgical resection引用本文复制引用
张悦,宋津茹,刘若昀,刘柳宏,何仁亮,杨斌..甲下浅表性肢端纤维粘液瘤1例[J].皮肤性病诊疗学杂志,2024,31(2):109-112,4.
