Superficial acral fibromyxoma: A rare and distinct clinicopathological entity: A case report and review of literature

Abstract

Superficial acral fibromyxoma (SAF) is a rare, slow growing soft tissue tumor which was first described as a separate entity in 2001 by Fetsch et al. The tumor involves periungual and subungual regions of fingers and toes in middle aged adults with slight male predominance. Not many cases have been reported worldwide. To the best of our knowledge, only a couple of such cases have been reported earlier in Indian population. Superficial acral fibromyxoma has a recurrence rate of 25%. Local recurrence is almost always associated with positive margins. Malignant or metastatic behaviour has not been reported as yet. Since the tumor has a tendency to recur, it is beneficial to make a pre-operative provisional diagnosis and do wide surgical excision with tumor free margins and keep the patient on regular follow up.

Keywords

• Superficial acral fibromyxoma
• Periungual and subungual
• Benign
• Recurrence