case_images: PMC8366670_01
case_images: Preoperative photographs of the tumor, dorsal view (A), palmar view (B).
case_images: ICRP_A_1962718_F0001_C.jpg
case_images: PMC8366670_01_ICRP_A_1962718_F0001_C.jpg
case_images: F0001
case_images: A 68 year-old female, smoker, presented to the ER with an ulcerated mass of the dorsum of the 5th finger involving the proximal phalanx to the DIP joint (Figure 1).
case_images: Post-excisional photographs of tumor: inferior (A) and lateral (B) views.
case_images: ICRP_A_1962718_F0002_C.jpg
case_images: PMC8366670_01_ICRP_A_1962718_F0002_C.jpg
case_images: F0002
case_images: Excision with the overlying skin was performed down to a tumor less surgical plane, preserving the extensor apparatus (Figure 2).
case_images: Intra-operative views after surgical excision of the tumor with preservation of the extensor apparatus (A) and after raising the flap (B).
case_images: ICRP_A_1962718_F0003_C.jpg
case_images: PMC8366670_01_ICRP_A_1962718_F0003_C.jpg
case_images: F0003
case_images: The resulting defect was covered with a 4th dorsal metacarpal artery perforator flap and the donor area primarily closed (Figure 3).
case_images: Fibro-osseous pseudotumor of digits. The lesion presents as a well-circumscribed dermal mass, with epidermal ulceration. Hematoxylin-eosin x 25.
case_images: ICRP_A_1962718_F0004_C.jpg
case_images: PMC8366670_01_ICRP_A_1962718_F0004_C.jpg
case_images: F0004
case_images: Cells have bland cytology and no necrosis or mitotic figures are seen, compatible with the diagnosis of FOPD (Figure 4 and 5).
case_images: Fibro-osseous pseudotumor of digits. At medium power, the mixture of arranged fibroblasts and myofibroblasts and the deposits of osteoid is rimmed by uniform osteoblasts. Hematoxylin-eosin x 100.
case_images: ICRP_A_1962718_F0005_C.jpg
case_images: PMC8366670_01_ICRP_A_1962718_F0005_C.jpg
case_images: F0005
case_images: Cells have bland cytology and no necrosis or mitotic figures are seen, compatible with the diagnosis of FOPD (Figure 4 and 5).
case_images: Post-operative views at 22 months showing complete wound healing without functional limitation: dorsal (A), and medial (B,C) views.
case_images: ICRP_A_1962718_F0006_C.jpg
case_images: PMC8366670_01_ICRP_A_1962718_F0006_C.jpg
case_images: F0006
case_images: The patient was followed for 22 months with no evidence of recurrence (Figure 6).