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Related Experiment Videos

Subungual neurothekeoma.

Maureen Connolly1, James R Hickey, Laszlo Intzedy

  • 1Department of Dermatology, Bristol Royal Infirmary, United Kingdom.

Journal of the American Academy of Dermatology
|January 1, 2005
PubMed
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Neurothekeomas, benign nerve sheath tumors, are rarely found on lower limbs. This report details the first known case of a subungual neurothekeoma on a big toe, confirmed by S100 protein staining.

Area of Science:

  • Dermatopathology
  • Oncology
  • Surgical Pathology

Background:

  • Neurothekeomas, also known as dermal nerve sheath myxomas, are benign tumors of probable nerve sheath origin.
  • Typically observed on the face, arms, or shoulders, they less commonly affect the lower extremities.

Observation:

  • This case presents the first documented instance of a subungual neurothekeoma.
  • The tumor was located on the big toe.

Findings:

  • Histopathological examination revealed a well-circumscribed, multilobulated tumor.
  • The tumor comprised bland stellate and spindle cells within an abundant myxoid matrix.
  • Immunohistochemistry confirmed positivity for S100 protein.

Implications:

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  • This finding expands the known anatomical distribution of neurothekeomas.
  • It highlights the importance of considering neurothekeomas in the differential diagnosis of subungual tumors.
  • Further research may elucidate the specific pathogenesis and behavior of digital neurothekeomas.