甲下肢端纤维角化瘤1例

Fibrokeratoma of the Digital Tip of the Lower Extremity: A Case Report

摘要: 患者，女，51岁。1年前无明显诱因右踇趾甲下出现一芝麻大小肿物，后肿物逐渐增大至花生米大小。肿物皮肤组织病理示：表皮角化过度，可见粗大的胶原组织，特殊染色VG (+)，符合瘢痕疙瘩病理改变。诊断为肢端纤维角化瘤。予以拔除甲板后手术切除甲下肿物，术后随访半年，未见复发。

Abstract: The patient, a 51-year-old woman, presented with a sesame-sized swelling under the nail of her right lesser toenail one year ago, which gradually increased to the size of a peanut meter. Skin histopathology of the swelling showed: hyperkeratosis of the epidermis, visible coarse collagenous tissue, and special staining VG (+), which was consistent with keloid pathological changes. The diagnosis was fibrokeratoma of the extremity. The nail plate was removed and the subnail mass was surgically resected, and the patient was followed up for six months after the operation without any recurrence.