title: Clinico-pathologic, dermoscopic and ultrasound examination of a rare acral tumour involving the nail - case report and review of the literature.
abstract: There is a large spectrum of tumors presenting as nodular lesions that may affect the subungual space. We report the case of a 62-year-old woman presenting with a rapidly growing nodular lesion under the nail of the first left toe. Non-invasive examinations using dermoscopy, ultrasonography and elastography were performed for the preoperative assessment of the lesion. The biopsy of the lesion revealed superficial acral fibromyxoma, a benign tumor with predisposition for acral sites. The patient underwent radical surgery with wide resection margins. This is the first case report of a superficial acral fibromyxoma affecting the subungual region characterized by dermoscopic, ultrasonographic and elastographic features. We also performed a short review of the literature.
authors.affiliation: Department of Dermatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Lavinia Elena
authors.initials: LE
authors.lastname: Grigore
authors.affiliation: Department of Dermatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Corina Iulia
authors.initials: CI
authors.lastname: Baican
authors.affiliation: Department of Radiology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Carolina
authors.initials: C
authors.lastname: Botar-Jid
authors.affiliation: Histopathology Department, County Emergency Hospital, Cluj-Napoca, Romania.
authors.forename: Liliana
authors.initials: L
authors.lastname: Rogojan
authors.affiliation: Department of Dermatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Alina Florentina
authors.initials: AF
authors.lastname: Letca
authors.affiliation: Department of Dermatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Loredana
authors.initials: L
authors.lastname: Ungureanu
authors.affiliation: Department of Dermatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Rodica
authors.initials: R
authors.lastname: Cosgarea
keywords: dermoscopy; elastography; superficial acral fibromyxoma; ultrasonography