Superficial Acral Fibromyxoma with Ossification on the Fingertip

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Christina Avila
Nima Milani-Nejad
David Carr


superficial acral fibromyxoma, soft tissue tumors, digital fibromyxoma


Superficial acral fibromyxoma is a rare mesenchymal tumor that arises in the distal extremities and favors the periungual and subungual regions of the digits. Superficial acral fibromyxoma are benign, however excision may be warranted due to the presence of complications and potential for extension and damage of nearby structures.  Here we present a rare case of ossified superficial acral fibromyxoma.


1. Fetsch JF, Laskin WB, & Miettinen M. Superficial acral fibromyxoma: A clinicopathologic and immunohistochemical analysis of 37 cases of a distinctive soft tissue tumor with a predilection for the fingers and toes. Hum. Pathol. 2001;32(7)704-14 [PMID: 11486169]

2. Moulonguet I, Biaggi A, Eschard C, et al. Plaque-like myofibroblastic tumor: Report of 4 cases. Am J Dermatopathol. 2017;39(10)767–772 [PMID: 28930106]

3. Chae JB, Jo G, Mun JH. Superficial acral fibromyxoma with bony change: Successful treatment with en bloc nail excision using a full-thickness skin graft. Int. J. Dermatol. 2018;57(8):998–100 [PMID: 29740820]

4. Prescott RJ, Husain EA, Abdellaoui A, et al. Superficial acral fibromyxoma: A clinicopathological study of new 41 cases from the U.K.: Should myxoma (NOS) and fibroma (NOS) continue as part of 21st-century reporting? Br. J. Dermatol. 2008;159(6)1315-21 [PMID: 18764846]

5. Hollmann TJ, Bovée JV, Fletcher CD. Digital Fibromyxoma (Superficial Acral Fibromyxoma). Am. J. Surg. Pathol. 2012;36(6)789-98 [PMID: 22367301]

6. Cullen D, Diaz Recuero JL, Cullen R, et al. Superficial Acral Fibromyxoma: Report of 13 Cases with New Immunohistochemical Findings. Am. J. Dermatopathol. 2017;39(1)14-22 [PMID: 28045748]

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