A rare large cutaneous chondroid syringoma involving a toe: A case report.

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A rare large cutaneous chondroid syringoma involving a toe: A case report.

Medicine (Baltimore). 2018 Feb;97(5):e9825

Authors: Lu H, Chen LF, Chen Q, Shen H, Liu Z

Abstract
RATIONALE: Chondroid syringoma (CS) occurs mostly on the face and neck, and rarely occurs in the toe. Malignant CS is invasive, grows quickly, and has a high recurrence rate. The presence of a bilobed CS in 1 toe has never been reported in the literature.
PATIENT CONCERNS: A 72-year-old male patient presented with a mass in a third toe of his right foot. The mass had slowly grown in 2 years. He felt mild pain and the mass occupied most of the tip of the toe.
DIAGNOSES: Radiographs showed a large soft-tissue mass in the third toe of his right foot without any bone destruction. Ultrasonogram showed 2 partly fused hypoechoic masses within the lesion. The mass was therefore diagnosed as a benign CS.
INTERVENTIONS: We amputated the toe with the mass under local anesthesia. The postoperative pathohistological examinations confirmed that the lesion was a bipartite CS exhibiting active cellular proliferation.
OUTCOMES: Two years after surgery, there was no tumor recurrence.
LESSONS: CS can also present as multiple adjacent masses. Complete surgical resection and long-term follow-up are essential.

PMID: 29384887 [PubMed - indexed for MEDLINE]

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