Noriega Leandro Fonseca, Chiacchio Nilton Gioia Di, Chiacchio Nilton Di, Ventura Andreza
Dermatology Department at Hospital do Servidor Público Municipal de São Paulo - São Paulo (SP), Brazil.
An Bras Dermatol. 2018 Jan-Feb;93(1):126-128. doi: 10.1590/abd1806-4841.20186828.
Acquired fibrokeratoma is a rare benign skin tumor that usually manifests as a slow-growing solitary nodular lesion of the digits. We report a case of plantar acquired fibrokeratoma evidencing its atypical size and topography, in addition to the treatment with simple surgical excision followed by healing by second intention. Nondigital fibrokeratomas may occur in 18% of cases and rarely affect the palmoplantar region. These lesions are usually asymptomatic and show ≥ 3cm in size at the time of diagnosis due to delayed diagnosis. Complete surgical excision is the treatment of choice, which is usually curative. In general, primary closure is chosen; however healing by second intention becomes an option in regions of difficult approach.
获得性纤维角化瘤是一种罕见的良性皮肤肿瘤，通常表现为手指上缓慢生长的孤立性结节性病变。我们报告一例足底获得性纤维角化瘤病例，该病例除了通过简单手术切除并二期愈合进行治疗外，还显示出其非典型的大小和部位。非指（趾）部纤维角化瘤可能在18%的病例中出现，很少累及掌跖区域。这些病变通常无症状，由于诊断延迟，在诊断时大小≥3cm。完整的手术切除是首选治疗方法，通常可治愈。一般来说，选择一期缝合；然而，在手术入路困难的区域，二期愈合成为一种选择。
