Debordes Pierre-Antoine, Hamoudi Ceyran, Weingertner Noelle, Di Marco Antonio
Department of Orthopedic Surgery, University Hospital of Strasbourg, Strasbourg, France.
Department of Pathology, University hospital of Strasbourg, Strasbourg, France.
J Surg Case Rep. 2023 Feb 2;2023(2):rjad027. doi: 10.1093/jscr/rjad027. eCollection 2023 Feb.
Superficial acral fibromyxoma (SAFM) is a rare, benign, slow-growing fibroblastic tumour of the soft tissue that is part of the group of myxoid soft-tissue neoplasms. It is a rare entity and usually occurs in the acral regions. We report the case of a 64-year-old man who presented to the emergency room for a lesion expected to have occurred as a result of an ingrown toenail. Because this patient had a history of repeated recurrences despite multiple surgical wedge excisions, we performed a complete surgical excision, and the pathological analysis confirmed the suspected diagnosis of SAFM. There was no recurrence at the 6-month follow-up. This case highlights the fact that this tumour is still misunderstood and underrecognized by surgeons and this often leads to delayed diagnosis. Although it is a rare entity, clinicians should be aware of this tumour in cases of recurring ingrown toenails.
浅表性肢端纤维黏液瘤（SAFM）是一种罕见的、良性的、生长缓慢的软组织成纤维细胞肿瘤，属于黏液样软组织肿瘤组。它是一种罕见的疾病，通常发生在肢端部位。我们报告一例64岁男性患者，因预计由嵌甲引起的病变而就诊于急诊室。由于该患者尽管多次进行手术楔形切除仍有复发史，我们进行了完整的手术切除，病理分析证实了疑似SAFM的诊断。6个月随访时无复发。该病例凸显了这样一个事实，即这种肿瘤仍未被外科医生充分理解和认识，这常常导致诊断延迟。尽管它是一种罕见疾病，但临床医生在复发性嵌甲病例中应意识到这种肿瘤。
