Liebman Jared J, Nigro Lauren C, Matthews Martha S
From the *Division of Plastic and Reconstructive Surgery, Department of Surgery, Cooper University Hospital, Camden, NJ; †Division of Plastic and Reconstructive Surgery, Department of Surgery, Einstein Medical Center, Einstein Healthcare Network, Philadelphia, PA; and ‡UMDNJ-Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, Camden, NJ.
Ann Plast Surg. 2014 Dec;73(6):721-2. doi: 10.1097/SAP.0b013e31828d757d.
Koenen tumors, or periungual and subungual fibromas, are a benign, cutaneous manifestation of tuberous sclerosis. They are disfiguring, painful, and challenging to treat as they frequently recur. Various laser and chemical ablation techniques have been described with variable long-term results and there is limited published literature to suggest a standard treatment. Through a review of the available literature and a successful experience with a patient with lower extremity Koenen tumor, we present treatment considerations for managing these troublesome tumors.
