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第五趾甲甲母质瘤的罕见定位:一例报告及文献复习

Unusual Localisation for Onychomatricoma on the 5th Toenail: A Case Report and Review of the Literature.

作者信息

Coutellier A, Théate I, Vanhooteghem O

机构信息

Department of Dermatology, Sainte Elisabeth Hospital, 5000 Namur, Belgium.

Department of Pathology, Institute of Pathology and Genetics, 6041 Gosselies, Belgium.

出版信息

Case Rep Dermatol Med. 2016;2016:1853495. doi: 10.1155/2016/1853495. Epub 2016 Jul 13.

DOI:10.1155/2016/1853495
PMID:27478656
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4961804/
Abstract

Onychomatricoma is a rare and benign tumour of the nail matrix but originates rarely from the ventral portion of the proximal nail fold. This tumour is characterised by fingerlike projections that invade the nail plate. This lesion, of unknown aetiology, is typically asymptomatic with slow progression. Localisation on the finger is the most frequently described. We report the case of a 68-year-old woman who has an onychomatricoma in an unusual location, the fifth toe of the left foot. Due to its clinical appearance, the tumour can be confused with and treated as onychomycosis. However, if it is resistant to an oral antifungal well behaved treatment, one must consider onychomatricoma diagnosis.

摘要

甲母质瘤是一种罕见的甲母质良性肿瘤,但很少起源于近端甲襞的腹侧部分。该肿瘤的特征是呈指状突起侵入甲板。这种病因不明的病变通常无症状且进展缓慢。最常描述的发病部位是手指。我们报告了一例68岁女性,其甲母质瘤位于一个不寻常的部位,即左脚第五趾。由于其临床表现,该肿瘤可能会与甲癣混淆并按甲癣治疗。然而,如果它对口服抗真菌药物规范治疗有抵抗,就必须考虑甲母质瘤的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb3/4961804/f58f2c1ea6fb/CRIDM2016-1853495.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb3/4961804/3e4b82e33aa1/CRIDM2016-1853495.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb3/4961804/3010b409aeab/CRIDM2016-1853495.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb3/4961804/d4a3721edc89/CRIDM2016-1853495.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb3/4961804/f58f2c1ea6fb/CRIDM2016-1853495.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb3/4961804/3e4b82e33aa1/CRIDM2016-1853495.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb3/4961804/3010b409aeab/CRIDM2016-1853495.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb3/4961804/d4a3721edc89/CRIDM2016-1853495.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb3/4961804/f58f2c1ea6fb/CRIDM2016-1853495.004.jpg

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Br J Dermatol. 2015 Nov;173(5):1305-7. doi: 10.1111/bjd.13900. Epub 2015 Aug 27.
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Onychomatricoma: a tumor unknown to dermatologists.甲母质瘤:一种皮肤科医生尚不了解的肿瘤。
An Bras Dermatol. 2015 Mar-Apr;90(2):265-7. doi: 10.1590/abd1806-4841.20153650.
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A tumor hidden beneath the nail plate: report of a rare case of onychomatricoma with three-dimensional histopathological analysis and immunohistochemical study.甲床板下隐匿性肿瘤:1例甲母质瘤罕见病例报告及三维组织病理学分析和免疫组化研究
Indian J Dermatol. 2015 Mar-Apr;60(2):212. doi: 10.4103/0019-5154.152569.
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Giant onychomatricoma in third toe: exceptional condition with surgical resolution.第三趾巨大甲床瘤:罕见病例及手术治疗结果
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