Giant Fibrokeratoma of the Heel

Abstract

We describe a 77-year-old patient with a giant acquired fibrokeratoma on the heel. The size and the localization of the tumor was unusual. Simple shave excision was curative.

Giant Acquired Digital Fibrokeratoma Occurring on the Left Great Toe

“…Exceptionally, there have been reported cases of giant acquired digital fibrokeratoma. Kakurai et al 4 and Bron et al 3 reported 3.2×3.8×1.5 cm and 3.0×1.5 cm acquired digital fibrokeratoma on the toe and heel as giant one respectively. In Korean dermatologic literatures, Cho et al 5 reported 1×1×3 cm giant acquired digital fibrokeratoma (Table 1).…”

“…It is a benign tumor, almost always solitary, can be seen in adults and does not show spontaneous regression. In most cases, acquired digital fibrokeratoma appears as a small solitary nodules mainly on the fingers and toes, occasionally occurring on the lower lip, nose, elbow, pre-patellar area, nail bed and heel 3,[6][7][8] .…”

“…The size of the tumor is generally small, less than 1 cm. Even though an exact definition of the standard size of giant acquired digital fibrokeratoma has not been established, 3 cases of acquired digital fibrokeratoma larger than 1 cm were reported, as giant acquired digital fibrokeratomas, in the dermatologic literatures [3][4][5] .…”

Acquired digital fibrokeratoma: review of its clinical and dermoscopic features and differential diagnosis

“…), but less commonly it may present as a symptomatic nodule much larger than 1 cm and can cause significant pain, also known as giant acquired digital fibrokeratoma . It most commonly occurs on the fingers but can also be seen on the palm, toes, and sole . Depending on the location of origin, the lesion can also be named acquired periungual fibrokeratoma (APF, Fig.…”

Giant digital fibrokeratoma of the finger

“…Acquired digital fibrokeratoma (ADFK) is a rare but benign fibrous tumor that usually presents in middle‐aged adults as a solitary lesion with a collarette of slightly raised skin at the base . The most common locations are the fingers and toes near the interphalangeal joints, and the tumors generally measure <1 cm .…”