指の爪のピグメント性悪性オニコパピロマ: "弦記号"の説明
Rachel C Hill1, Cynthia M Magro2, Shari R Lipner3
1Weill Cornell Medical College, New York, NY, USA.
Case reports in dermatology
|August 29, 2025
まとめ
以前は良性と考えられていたオニコパピロマは悪性発症の可能性がある. このケースは,非典型の爪腫瘍の生検の重要性を強調しています. 特に皮膚の色が"弦のサイン"を示している患者の場合です.
科学分野:
- 皮膚科
- 腫瘍学
- 爪の病理
背景:
- オニコパピロマは良性指甲腫瘍で,通常は縦線性赤毛症で表れます.
- 2021年までは,オニコパピロマは純良な爪床およびマトリックス腫瘍と見なされていました.
- オニコパピロマの悪性変異は最近の発見であり,その流行に関する理解は限られている.
研究 の 目的:
- 悪性オニコパピロマを 提示する
- オニコパピロマの非典型的臨床表現を強調する
- 診断のための生検の重要性を強調する.
主な方法:
- 爪の成長が10年に及ぶ 34歳の女性のケースです
- 爪の生検の 組織病理学的分析
- 発色と成長パターンを含む臨床的特徴の検査
主要な成果:
- バイオプシでは,オニコパピロマの背景に メラニンの蓄積を伴う 状形変形が見られました.
- 異常なKi67染色がケラチノサイトで観察された.
- 患者の側にある爪の折りたたみには 色のついた腫れがありました
結論:
- 悪性オニコパピロマは,黒い肌のタイプでは,縦のメラノニキアで表れます.
- "文字列の記号"のような異常な特徴は 詳細な調査を義務付けています
- 早期生検は悪性オニコパピロマと非典型的症状の診断に不可欠です.
関連する概念動画
Accessory Structures of the Skin: Nails
2.0K
Nails are one of the important accessory structures of the skin. They are hard, protective structures that cover the dorsal surface of the distal phalanges of fingers and toes. Nails are composed of specialized keratinized cells and serve various functions, including protection, sensation, and manual dexterity.
The main components of a nail include the following.
Nail Plate: The nail plate is the visible portion of the nail that extends beyond the fingertips or toes. It is a hard, translucent...
The main components of a nail include the following.
Nail Plate: The nail plate is the visible portion of the nail that extends beyond the fingertips or toes. It is a hard, translucent...
2.0K
Papillary Dermis
3.4K
Dermis
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen...
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen...
3.4K
Skin Cancer
4.5K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
4.5K
Types of Intermediate Filaments
3.8K
The intermediate filaments are an essential component of the cytoskeleton. Presently six types of intermediate filament have been identified. Type I and II are acidic and basic keratin proteins. Type III is of mesodermal origin and comprises four proteins: vimentin, desmin, glial fibrillary acidic protein (GFAP), and peripherin. Vimentin is commonly found in mesenchymal cells, desmin in muscle cells, GFAP in astrocytes, while peripherin is found in peripheral nervous system neurons (PNS). Type...
3.8K
Pigmentation
2.6K
The color of the skin is influenced by a number of pigments, including melanin, carotene, and hemoglobin. Recall that melanin is produced by cells called melanocytes, which are found scattered throughout the stratum basale of the epidermis. The melanin is transferred to the keratinocytes via melanosomes.
Melanin occurs in two primary forms: eumelanin that provides black and brown pigment and pheomelanin that provides red color. Dark-skinned individuals produce more melanin than those with pale...
Melanin occurs in two primary forms: eumelanin that provides black and brown pigment and pheomelanin that provides red color. Dark-skinned individuals produce more melanin than those with pale...
2.6K


