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Nail Squamous Cell Papilloma: A Rare Case Report
Maiara Christine Macagnan1, Maria Elisa Meneguetti1, Nilton Gioia Di Chiacchio2,3
1Dermatology Department, Hospital Santa Casa de Misericórdia de Curitiba, Curitiba, Brazil.
Skin Appendage Disorders
|April 4, 2024
Summary
This study reports the first case of squamous cell papilloma in a fingernail, a rare benign tumor typically linked to human papillomavirus. Treatment involved surgical excision and topical imiquimod, resulting in favorable healing and pain management.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Squamous cell papilloma is a benign neoplasm.
- Human papillomavirus (HPV) is the primary cause of squamous cell papilloma.
- Nail involvement by squamous cell papilloma has not been previously documented.
Purpose of the Study:
- To present a unique case of squamous cell papilloma affecting the nail.
- To describe the diagnostic and therapeutic approach for this rare condition.
- To contribute to the understanding of nail squamous cell papilloma.
Main Methods:
- A case presentation of a 67-year-old female with a painful, evolving nail lesion.
- Surgical excision of the nail lesion.
- Histopathological examination confirming squamous cell papilloma.
- Adjuvant topical treatment with imiquimod.
Main Results:
- Histopathology confirmed squamous cell papilloma of the nail.
- Surgical excision and imiquimod treatment led to good healing.
- Pain associated with the lesion was effectively controlled.
- The patient experienced a favorable outcome with no recurrence reported.
Conclusions:
- Squamous cell papilloma can occur in the nail apparatus, a previously unreported site.
- A combination of surgical excision and topical imiquimod may be an effective treatment strategy.
- Further research is warranted to establish definitive diagnostic and management guidelines for nail squamous cell papilloma.

