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Published on: November 23, 2017
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[Function-sparing surgery for subungual melanoma in situ]
A V Nibozhin1, V V Kozlov1,2, S A Fursov1,2
1Novosibirsk Regional Clinical Oncology Dispensary, Novosibirsk, Russia.
Khirurgiia
|November 25, 2025
Summary
Function-sparing surgery may be a viable option for treating subungual melanoma in situ, offering a less invasive approach for this rare skin cancer. This technique aims to preserve function while maintaining surgical quality for early-stage acral melanoma.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Acral melanoma is a rare skin cancer.
- Subungual melanoma, a common variant, presents diagnostic challenges and a poor prognosis.
- Surgical management of subungual melanoma is debated, with standard options including amputation.
Purpose of the Study:
- To present a case of function-sparing surgery for subungual melanoma in situ.
- To explore alternatives to standard amputation for early-stage acral melanoma.
Main Methods:
- Case report detailing function-sparing surgical technique.
- Review of existing literature on subungual melanoma treatment.
Main Results:
- Successful application of function-sparing surgery for subungual melanoma in situ.
- Demonstration that function-sparing surgery can be performed without compromising oncologic outcomes in select cases.
Conclusions:
- Function-sparing surgery is a potential treatment for subungual melanoma in situ.
- This approach may offer a valuable alternative to amputation, preserving digit function.
- Further research is warranted to establish the role of function-sparing surgery in acral melanoma management.
