title: Giant fibrokeratoma, a rare soft tissue tumor presenting like an accessory digit, a case report and review of literature.
abstract: BACKGROUND
  Acquired digital fibrokeratoma is an uncommon, benign fibrous tumour that usually occurs in adults as a solitary lesion with a typical size of less than 1cm.
  
  
  METHODS
  A 48-year-old Afro-Caribbean man presented to our foot and ankle clinic with a long-standing growth over the plantar aspect of the distal phalanx of the left great toe. The growth was painful and affected the patient's mobility. It had gradually increased in size over a period of 17 years. The growth was completely excised, and the base was allowed to heal by secondary intention. The skin eventually healed, and the patient had a good outcome. The histological results confirmed that the growth was a digital fibrokeratoma.
  
  
  CONCLUSIONS
  This case is of interest because of the rarity of digital fibrokeratoma and the unique morphological appearance of the tumor in this case. Additionally, we emphasise the importance of ruling out other causes of abnormal growths and considering fibrokeratoma during differential diagnoses.
authors: Junior Clinical Fellow, Trauma and Orthopaedics, Royal Derby Hospital, United Kingdom. Electronic address: Mohammedkhider84@hotmail.com.
authors: Mohammed
authors: M
authors: Ali
authors: Junior Clinical Fellow, Trauma and Orthopaedics, Royal Derby Hospital, United Kingdom.
authors: C A
authors: CA
authors: Mbah
authors: Junior Clinical Fellow, Trauma and Orthopaedics, Royal Derby Hospital, United Kingdom.
authors: Ahmed
authors: A
authors: Alwadiya
authors: Department of Histopathology, Cork University Hospital, United Kingdom. Electronic address: mutaznur@hotmail.com.
authors: Mutaz Mohammed
authors: MM
authors: Nur
authors: FRCS, Consultant Orthopaedics Surgeon, Royal Derby Hospital, United Kingdom. Electronic address: dsundar6@hotmail.com.
authors: D
authors: D
authors: Sunderamoorthy
keywords: Acquired digital fibrokeratoma; Great toe; Tumor