Superficial Acral Fibromyxoma of Ring Finger: A Rare Entity and Its Management

Abstract Superficial acral fibromyxoma (SAFM) is a rare, benign fibroblastic neoplasm. Periungual and subungual regions of the acral sites are involved predominantly. These lesions are slow growing and have a high propensity for local recurrence. A 41-year-old female presented as painless, slowly enlarging mass in the periungual region in the ulnar aspect of the ring finger. Radiological evaluation was done. The patient underwent wide local excision of the lesion with subsequent reconstruction of the surgical defect with homodigital flap and split-thickness skin graft over the residual raw area. Histopathological analysis confirmed the diagnosis. Postoperative recovery was uneventful, and no evidence of recurrence was observed at short-term follow-up. SAFM, though uncommon, should be considered in the differential diagnosis of acral soft tissue tumors. Complete surgical excision with adequate margins remains the mainstay of treatment to minimize recurrence. This case highlights the importance of clinicopathological correlation and long-term follow-up in managing such rare tumors.