Non-amputative surgical management of subungal melanoma in situ

Min Gun Yoo, Byoung Joon So, Hee Joo Kim, Gil Soo Son, Jong Woong Park, Il Hwan Kim

Research output: Contribution to journalArticle

Abstract

Subungual melanoma is a variant of acral lentiginous melanoma and is thought to carry a poor prognosis due to difficulties in early diagnosis. Classical management of subungual melanoma is based on the radical surgery of distal phalanx amputation. Instead, conservative treatment with non-amputative wide excision of the nail unit followed by reconstruction has been insufficiently reported, especially in Korea. A 71-year-old woman presented with dark brownish longitudinal bands on her right thumbnail. Punch biopsies from the nail matrix and nail bed showed proliferation of atypical melanocytes without dermal involvement. We describe a case of subungual melanoma in situ of the right thumb, and a non-amputative surgical management which aims to provide adequate clearance of the lesion with minimal morbidity and satisfactory preservation of function for the patient.

Original languageEnglish
Pages (from-to)265-267
Number of pages3
JournalKorean Journal of Dermatology
Volume51
Issue number4
Publication statusPublished - 2013 Apr

Keywords

  • Flap
  • Melanoma in situ
  • Nonamputative
  • Subungual
  • Wide excision

ASJC Scopus subject areas

  • Dermatology

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  • Cite this

    Yoo, M. G., So, B. J., Kim, H. J., Son, G. S., Park, J. W., & Kim, I. H. (2013). Non-amputative surgical management of subungal melanoma in situ. Korean Journal of Dermatology, 51(4), 265-267.