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Nail matrix melanoma in situ: Conservative surgical management
- Source :
- Duarte, AF; Correia, O; Barros, AM; Azevedo, R; Haneke, E (2010). Nail matrix melanoma in situ: Conservative surgical management. Dermatology, 220(2), pp. 173-175. Basel: Karger 10.1159/000266038
- Publication Year :
- 2010
- Publisher :
- Karger, 2010.
-
Abstract
- Background: Nail unit melanoma (NUM) is a rare variant of acral lentiginous melanoma. The differential diagnosis is wide but an acquired brown streak in the nail of a fair-skinned person must be considered a potential melanoma. Dermatoscopy helps clinicians to more accurately decide if a nail apparatus biopsy is necessary. Methods: We report the case of a 61-year-old Caucasian woman with melanonychia occupying the central portion of the right thumbnail plate with 1 year of evolution. Dermatoscopy showed a brown pigmentation overlaid by longitudinal irregular lines. An excisional biopsy was performed, and pathological examination revealed melanoma in situ. For safety reasons, the nail unit was totally removed down to the phalangeal bone 3 weeks later, and a full-thickness skin graft taken from the arm was used for reconstruction. Conclusion: NUMs pose a difficult treatment challenge. Wide excision with phalanx amputation is not satisfactory for patients with in situ and early invasive melanoma. Full-thickness skin grafting after total nail unit excision is a simple procedure providing a good functional and cosmetic outcome.
- Subjects :
- medicine.medical_specialty
Skin Neoplasms
Esthetics
Melanoma in situ
Dermoscopy
Dermatology
Acral lentiginous melanoma
Diagnosis, Differential
Nail Diseases
Risk Factors
medicine
Humans
skin and connective tissue diseases
Melanoma
neoplasms
Dermatoscopy
integumentary system
medicine.diagnostic_test
business.industry
Cancer
Skin Transplantation
Middle Aged
Plastic Surgery Procedures
medicine.disease
medicine.anatomical_structure
Nail (anatomy)
Female
Differential diagnosis
business
Nail matrix
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Duarte, AF; Correia, O; Barros, AM; Azevedo, R; Haneke, E (2010). Nail matrix melanoma in situ: Conservative surgical management. Dermatology, 220(2), pp. 173-175. Basel: Karger 10.1159/000266038 <http://dx.doi.org/10.1159/000266038>
- Accession number :
- edsair.doi.dedup.....480d65bf71833380c75d2bfe1573e1db