Download PDF
J Hand Microsurg 2021; 13(03): 173-177
DOI: 10.1055/s-0040-1709099
Case Report

Symptomatic Periungual Fibroma of the Hand

Camelia Qian Ying Tang
1   Department of Hand and Reconstructive Microsurgery, Tan Tock Seng Hospital, Singapore, Singapore
,
Audrey Qi Xin Chia
1   Department of Hand and Reconstructive Microsurgery, Tan Tock Seng Hospital, Singapore, Singapore
,
Sreedharan Sechachalam
1   Department of Hand and Reconstructive Microsurgery, Tan Tock Seng Hospital, Singapore, Singapore
› Author Affiliations Funding None.
› Further Information
    Permissions and Reprints

Abstract

Periungual fibromas are benign nodules commonly found on acral digital areas that are commonly associated with tuberous sclerosis. They vary in size and are challenging to treat, with a high recurrence rate. We present a case of a patient with a periungual fibroma, which by virtue of its size, was of functional concern. The intraoperative findings and their implications on the clinical outcome, together with a literature review on other treatment modalities, are also presented.

Keywords

periungual fibroma - tuberous sclerosis


Publication History

Article published online:
13 April 2020

© 2020. Society of Indian Hand & Microsurgeons. All rights reserved. Thieme Medical and Scientific Publishers Pvt. Ltd., A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Hollmann TJ, Bovée JVMG, Fletcher CDM. Digital fibromyxoma (superficial acral fibromyxoma): a detailed characterization of 124 cases. Am J Surg Pathol 2012; 36 (06) 789-798
    CrossrefPubMedGoogle Scholar
  • 2 Hake S. Cutaneous manifestations of tuberous sclerosis. Ochsner J 2010; 10 (03) 200-204
    PubMedGoogle Scholar
  • 3 Aldrich CSL, Hong C-H, Groves L, Olsen C, Moss J, Darling TN. Acral lesions in tuberous sclerosis complex: insights into pathogenesis. J Am Acad Dermatol 2010; 63 (02) 244-251
    CrossrefPubMedGoogle Scholar
  • 4 Ward PE, McCarthy DJ. Periungual fibroma. Cutis 1990; 46 (02) 118-124
    PubMedGoogle Scholar
  • 5 Liebman JJ, Nigro LC, Matthews MS. Koenen tumors in tuberous sclerosis: a review and clinical considerations for treatment. Ann Plast Surg 2014; 73 (06) 721-722
    CrossrefPubMedGoogle Scholar
  • 6 Berlin AL, Billick RC. Use of CO2 laser in the treatment of periungual fibromas associated with tuberous sclerosis. Dermatol Surg 2002; 28 (05) 434-436
    PubMedGoogle Scholar
  • 7 Mazaira M, del Pozo Losada J, Fernández-Jorge B, Fernández-Torres R, Martínez W, Fonseca E. Shave and phenolization of periungual fibromas, Koenen’s tumors, in a patient with tuberous sclerosis. Dermatol Surg 2008; 34 (01) 111-113
    CrossrefPubMedGoogle Scholar
  • 8 Kojima T, Nagano T, Uchida M. Periungual fibroma. J Hand Surg Am 1987; 12 (03) 465-470
    CrossrefPubMedGoogle Scholar
  • 9 Lee C-Y, Lee K-Y, Kim K-H, Kim Y-H. Total excision of acquired periungual fibrokeratoma using bilateral proximal nail fold oblique incision for preserving nail matrix. Dermatol Surg 2010; 36 (01) 139-141
    CrossrefPubMedGoogle Scholar