Anatomical distribution and outcome of surgical excision of fibrokeratoma – a clinical analysis of 124 cases

Abstract

Although most fibrokeratomas appeared on the digits, a certain number of cases (24%) were located on nondigital areas. The periungual area of the toe was the most common local recurrent site.

An unusual presentation of acquired periungual fibrokeratoma: A mixed form of dome‐shaped and branching type

“…The preferred treatment is complete excision because superficial removal usually results in recurrence. 2,3 The tumor in our case recurred once despite previous surgical excision. Therefore, close observation of its recurrence is needed after surgical treatment.…”

“…Although the diagnosis of the periungual variant is based on the clinical and histopathologic features, it should be differentiated from other conditions encountered in the digits such as verruca vulgaris, digital mucous cyst, eccrine poroma, supernumerary digit, superficial acral fibromyxoma, and Koenen's tumor to ensure proper diagnosis and management. The preferred treatment is complete excision because superficial removal usually results in recurrence 2,3 . The tumor in our case recurred once despite previous surgical excision.…”

“…However, it occurs occasionally on nondigital areas of the hands and feet as well as the elbow, forearm, wrist, and exceptionally on the heel, knee, lower leg, thigh, and buttock. 3 Because of its predominant location on the fingers and toes, Verallo 4 described it as acral fibrokeratoma. However, acquired fibrokeratoma seems to be a more appropriate description rather than ADFK, as several authors already pointed out the unsuitability of the original nomenclature because its occurrence is not limited to the digits.…”

“…Classic ADFK is commonly found on the fingers or toes. However, it occurs occasionally on nondigital areas of the hands and feet as well as the elbow, forearm, wrist, and exceptionally on the heel, knee, lower leg, thigh, and buttock 3 . Because of its predominant location on the fingers and toes, Verallo 4 described it as acral fibrokeratoma.…”

Fibroqueratoma periungueal adquirido en la edad pediátrica, a propósito de un caso

“…Suele presentarse en varones de edad media. El caso que se presenta corresponde al de un niño de 6 años de edad; caso clínico de menor edad descrito hasta el momento, tras haber repasado exhaustivamente la bibliografía y haber consultado la revisión múltiple de 124 pacientes presentada en 2017 por Yi-Chiun Tsai et al (4), donde el paciente más joven era de 11 años.…”