At M. Bufalini Hospital, Cesena, Italy, Carmine D'Acunto, MD, is Dermatologist, Department of Surgery and Trauma Center, O.U. Burn Center and Dermatology; Luca Riccioni, MD, and Francesca Scarpellini, MD, are Pathologists, Department of Clinical Pathology, O.U. Pathological Anatomy; Valeria Purpura, BD, is Biologist, Department of Surgery and Trauma Center, O.U. Burn Center and Dermatology; and Davide Melandri, MD, is Dermatologist and Plastic Surgeon, Department of Surgery and Trauma Center, O.U. Burn Center and Dermatology.
Adv Skin Wound Care. 2023 Jul 1;36(7):1-4. doi: 10.1097/01.ASW.0000936008.05741.7d.
Eccrine angiomatous hamartoma (EAH) is a rare hamartoma characterized by a benign proliferation of eccrine glands and vascular structures in the dermis. These tumors rarely regress spontaneously, so surgical excision of the involved tissue is required when pain or enlargement occurs. Here, the authors report the clinical case of a patient affected by an extremely painful EAH with the atypical localization at the last phalanx of the thumb of the right hand with involvement of nail matrix and nail bed. This report aims to emphasize the application of Mohs micrographic surgery for the treatment of painful EAH in a very difficult area at potential risk of amputation while preserving the maximum anatomical integrity and function of the damaged area. These results can pave the way for the use of Mohs micrographic surgery for very carefully selected benign neoplasms when their surgical removal is required.
汗管瘤样错构瘤（EAH）是一种罕见的错构瘤，其特征为真皮内小汗腺腺体和血管结构的良性增生。这些肿瘤很少自发消退，因此当出现疼痛或增大时，需要手术切除受累组织。在这里，作者报告了一例患者的临床病例，该患者患有极度疼痛的 EAH，其位置异常，位于右手拇指末节，累及甲母质和甲床。本报告旨在强调Mohs 显微外科手术在治疗疼痛性 EAH 方面的应用，Mohs 显微外科手术可用于在极有可能截肢的潜在风险区域内保留最大的解剖完整性和受损区域的功能，同时治疗非常困难的部位。这些结果可以为在需要手术切除时，对非常精心选择的良性肿瘤使用 Mohs 显微外科手术铺平道路。
