Plaque-like myofibroblastic tumor (PLMT) is a rare dermal spindle cell tumor which occurs in infancy or childhood within the first 4 years of life. The tumor is often pruritic and mostly presents on the lower back. We describe 2 cases with characteristic clinical and histological features of this entity, thus adding to the 10 cases which have so far been reported. Histologically, the lesion resembles a dermatofibroma. However, diffuse and uniform immunohistochemical staining with smooth muscle actin favors a myofibroblastic lineage. PLMT should be considered in the differential diagnosis of a dermal spindle cell tumor in the pediatric age-group.

Objective Here we describe the presentation, identification, operation details and subsequent histological analysis of an onychomatricoma, a benign rare subungual tumour that is often misidentified and diagnosed. Methods No public involvement to declare, patient was consented for surgical excision and provided verbal consent to photography and its use in publishing. Participant One 44-year-old female. Intervention One time surgical excision. Primary and secondary outcomes measured Not applicable. Results Complete excision and histopathological report of specimen provided. Conclusion Complete surgical excision is an effective means of treatment for onychomatricoma.

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