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Atypical fibroxanthoma of hand
  1. Gowtham Kampalli1,
  2. Satyaswarup Tripathy1,
  3. Suraj Nair2 and
  4. Ramesh Kumar Sharma1
  1. 1Plastic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  2. 2Plastic Surgery, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India
  1. Correspondence to Dr Satyaswarup Tripathy; dr.sstripathy{at}


Atypical fibroxanthoma (AFX) is a rare cutaneous ulcerative lesion with a good prognosis. Diagnosis is difficult and is usually made by exclusion from pleomorphic dermal sarcoma and squamous cell carcinoma. Definitive treatment varies from Mohs micrographic surgery to wide local excision. We present a case of 76-year-old woman with AFX over the dorsum of her left hand. The tumour was excised and the resulting defect was reconstructed with a local second dorsal metacarpal artery perforator flap.

  • plastic and reconstructive surgery
  • dermatology

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  • Contributors GK, ST and SN have conceived the idea of writing the paper and have contributed equally to prepare the manuscript. RKS has guided intellectually and corrected the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.