A Case of Superficial Acral Fibromyxoma

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Bhushan Shah, Chaitanya Mahajan, Adithya Reddy Vijendra, Jayant Bajaj, Devendra S Yadav, Ritika Gupta

Abstract

A rare benign tumor that mainly affects the distal extremities, such as the fingers and toes, is known as superficial acral fibromyxoma (SAFM). This distinct soft tissue tumor was first described in 2001 by Fetsch et al. and is characterized by slow-growing, painless nodules or tumors with a  firm, rubbery texture and bluish appearance.


SAFM commonly involves the nail bed or periungual region, potentially leading to nail plate     deformities. The exact etiology of SAFM remains unclear, although it is believed to originate from dermal dendritic cells. Histopathological examination and immunohistochemistry aid in confirming the diagnosis. Surgical excision with clear margins is the primary treatment, and long-term follow-up is advised to monitor for recurrence.

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