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DOI: 10.1055/a-1985-1324
Subungual Osteochondromas of the Toe: Two Case Reports for Diagnosis and Treatment
Financial Disclosure None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript.
Abstract
Benign cartilaginous tumors, known as chondrogenic tumors, show cartilage components in the microscopic diagnosis. We present two clinical cases with cartilaginous tumors of the toes showing distinctive clinical manifestations. Two juvenile patients visited our outpatient clinic due to tumors with toenail deformities. A 10-year-old girl presented with a palpable mass with a nail deformity on the left third toe. The initial pathology report was soft tissue chondroma until complete resection. Another 15-year-old male patient visited the dermatology department with a toenail deformity and underwent a punch biopsy. The pathology report was fibrosis with myxoid degeneration. Excisional biopsies were performed for both patients. In the operative field, we observed exophytic tumors connected to the distal phalangeal bones. The final pathology reports were subungual osteochondroma on both patients. The specimen exhibited mature bone trabeculae with a focal cartilaginous cap. Benign cartilaginous tumors have a slow, progressive course and do not show significant symptoms. However, tumors in subungual areas are accompanied by toenail deformities and they can cause pain. Their clinical characteristics lead to a delayed diagnosis. Surgeons can be confused between soft tissue and chondrogenic tumors. When they conduct physical examinations, these categories should be considered in the differential diagnosis.
Ethical Approval
The study was approved by the Institutional Review Board of Konkuk University Hospital (IRB No. KUH 2022-08-039) and performed in accordance with the principles of the Declaration of Helsinki. Written informed consent was obtained from the patient.
Authors' Contributions
M.C.L and C.E.S conceptualized the study. W.Y.K. and W.S.K. were involved in data curation. C.E.S. contributed to the investigation. J.K. and D.S. supervised the study. M.C.L. and C.E.S. were involved in writing – the original draft. H.C. contributed to writing – review and editing.
Patient Consent
Patients provided written informed consent for the publication and the use of their images.
Publication History
Received: 02 October 2022
Accepted: 14 November 2022
Accepted Manuscript online:
23 November 2022
Article published online:
06 February 2023
© 2023. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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