A nodular lesion of the toe

Abstract

Conflict of interest: none declared. A 40‐year‐old Afro‐Caribbean man presented with a 5‐year history of a growth on the left second toe, displacing the nail plate. The lesion had gradually been increasing in size, but in the past year had grown more rapidly. It was painful if the patient was wearing tight footwear. There was no preceding history of trauma. On examination, there was a firm round tumour, 20 mm in size, displacing and distorting the whole nail plate was seen (Fig. 1a). It was tender on palpation. No underlying exostosis was seen on radiographs. A biopsy was taken from the lesion. ... Histological examination of the biopsy revealed a dermal and subcutaneous tumour consisting of bland stellate and elongated spindle‐shaped cells. These were arranged in a vaguely storiform and fascicular growth pattern in a myxoid stroma, with some increase in mast cells. There were scattered small blood vessels. No mitotic figures were seen (Fig. 1b).