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[Subungual melanoma with linear nail pigmentation].

E Haneke, D Binder

    Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
    |July 1, 1978
    PubMed
    Summary

    A 53-year-old male had subungual melanoma, a type of skin cancer under the nail. Surgical resection of the affected phalanx is recommended for effective treatment and good outcomes.

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    Area of Science:

    • Oncology
    • Dermatology
    • Surgical Pathology

    Background:

    • Subungual melanoma is a rare but serious form of skin cancer.
    • Nail pigmentation can be an indicator of underlying malignancy.
    • Superficial spreading melanoma is the most common subtype.

    Observation:

    • A 53-year-old male presented with dark-brown linear nail pigmentation on his thumb.
    • The pigmentation was diagnosed as subungual melanoma, predominantly superficial spreading type.

    Findings:

    • The study recommends surgical resection of the dorsal two-thirds of the terminal phalanx for subungual melanoma.
    • This approach ensures radical surgery while preserving function and aesthetics.

    Implications:

    • Early diagnosis and appropriate surgical intervention are crucial for managing subungual melanoma.
    • The described resection technique offers a balance between oncological safety and patient outcomes.
    • Further research into non-invasive diagnostic methods for nail pigmentation is warranted.

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