case_images: PMC2938433_01
case_images: Granular cell tumor of the forth toe of the right foot.
case_images: DRP2010-184125.001.jpg
case_images: PMC2938433_01_DRP2010-184125.001.jpg
case_images: fig1
case_images: A 54-year-old patient, with no prior history of skin cancer, was examined in October 2008 with a yellowish, hyperkeratotic neoformation causing pain, affecting the forth toe of the right foot (Figure 1); no local or popliteal lymphadenopathy was noted.
case_images: Immediate postop: reconstruction of the forth digit with the dermal regeneration template (Integra).
case_images: DRP2010-184125.002.jpg
case_images: PMC2938433_01_DRP2010-184125.002.jpg
case_images: fig2
case_images: The toe was reconstructed with a dermal regeneration template made of cross-linked bovine collagen and chondroitin-6-sulfate (Figure 2) (Integra, Integra Life Sciences Corporation, Plainsboro, NJ).
case_images: Histologic examination (200X).
case_images: DRP2010-184125.003.jpg
case_images: PMC2938433_01_DRP2010-184125.003.jpg
case_images: fig3
case_images: The final histological examination confirmed that the neoformation presents the histological characters of granular cell tumor (Figure 3).
case_images: Postop at three weeks.
case_images: DRP2010-184125.004.jpg
case_images: PMC2938433_01_DRP2010-184125.004.jpg
case_images: fig4
case_images: Three weeks after surgery the silicone layer of the template was removed, and the toe healed with reepithelization in a month (Figure 4).
case_images: Clinical follow-up at one year.
case_images: DRP2010-184125.005.jpg
case_images: PMC2938433_01_DRP2010-184125.005.jpg
case_images: fig5
case_images: The clinical followups carried out 6 months and one year after the operation have shown no relapse of the disease and complete resolution of the pain (Figure 5).