Case Number : 107 Posted By: Guest

Maria claudia - FEDERICO LLERAS (BOGOTÁ) Wrote:

FIBROMIXOMA DIGITAL

Submitted on 10/11/2010 00:25
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Richard Carr - Warwick (UK) Wrote:

This may be insider information but I think this case is the rarer traumatic variant. Most case we see are ganglionic type and have less of an interstitial mucinous pattern and more of a interstitial mucous-filled pseudocyst and more often than not you can see the ganglion wall at the base of the biopsy. I think superficial acral fibromyxoma would be an excellent suggestion in the differential on this field. Regards to all and hope you are already enjoying your weekends

Submitted on 06/11/2010 09:21
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Phillip McKee - Overseas consultations (Sedona, Arizona, USA) Wrote:

The diagnosis is digital mucous cyst. The thick stratum corneum indicating acral skin "gives the game away"!! Best wishes to you all and thanks for contributing this week. Have a great wekend and see you on Monday. Phillip

Submitted on 05/11/2010 19:21
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Miguel Sanz - UAH (Spain) Wrote:

Superficial acral fibromyxoma - Superficial angyomixoma ?

Submitted on 05/11/2010 19:05
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Ruifeng Guo - (OK,USA) Wrote:

I agree this is focal mucinosis.

Submitted on 05/11/2010 16:01
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Graham Reilly - Princess Elizabeth Hospital (Guernsey) Wrote:

A biopsy from acral skin with a dermal deposition of mucin.In view of the lack of cyst formation I would favour focal mucinosis.

Submitted on 05/11/2010 15:12
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Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Good morning... Digital mucous cyst

Submitted on 05/11/2010 13:57
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ANDREW DANCKWERTS - WITS UNIVERSITY, JHB (JHB, RSA) Wrote:

DERMAL-BASED ILL-DEFINED AREA OF MUCINOUS MATERIAL WITHOUT A DEFINITIVE CYSTIC STRUCTRE. THE OVERLYING SKIN APPEARS TO BE DERIVED FROM AN ACRAL SITE WITH HYPERKERATOSIS. IN VIEW OF THIS, MY FAVOURED DIAGNOSIS IS FOCAL MUCINOSIS. NB: I THINK WITH TIME THE LESION MAY PROGRESS TO FORM A DIGITAL MUCOUS CYST.

Submitted on 05/11/2010 11:00
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Marcela Saeb Lima - Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

In acral skin it should be considered a focal cutaneous mucinosis such as digital mucous cyst. There is no evidence of fibroblast proliferation, to think about papular mucinosis. As always, lovely cases, beautiful pictures and interesting comments. Love this site and the opportunity to learn. Thanx Phillip. Lovely weekend to everyone!!

Submitted on 05/11/2010 10:19
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Rodrigo Restrepo - UPB/CES (Mdlln. Col) Wrote:

Focal mucinosis

Submitted on 05/11/2010 09:52
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Marwa Fawzi - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Cuteanous focal mucinosis

Submitted on 05/11/2010 09:01
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Looks like a biopsy from acral site, propably periungual. Based on the site will favour digital mucous cyst (periungual type), however, apart from the very thick stratum corneum, focal mucinosis will have the same pathological picture as this variant of digital mucous cyst.

Submitted on 05/11/2010 07:58
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Focal mucinosis or early digital mucous cyst.

Submitted on 05/11/2010 06:52
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Focal mucinosis or early gigital mucous cyst.

Submitted on 05/11/2010 06:51