Subungueal melanoma treated with local resection and free graft. ¿How to treat a patient with longitudinal melanonychia?
Keywords:
Melanoma, nails diseases, biopsy.Abstract
Subungual melanoma is an uncommon tumor, that presents as a longitudinal melanonychia. Diagnosis is made based on the medical record, dermatoscopic findings and biopsy; treatment is always with surgery. We present a case of subungual melanoma and we discuss briefly how to manage patients with longitudinal melanonychia.
Author Biographies
Ana Lucía Molina
Médica, residente II de Dermatología, Universidad Pontificia Bolivariana, Medellín, Colombia.
Luz Marina Gómez
Médica dermatóloga; profesora titular; jefe, Servicio de Dermatología, Universidad Pontificia Bolivariana, Medellín, Colombia.
Beatriz Orozco
Médica dermatóloga; docente ad honorem de Dermatología, Universidad Pontificia Bolivariana, Medellín, Colombia.
Rodrigo Restrepo
Médico dermatopatólogo; docente adscrito, Universidad Pontificia Bolivariana, Medellín, Colombia.
References
1. Tan KB, Moncrieff M, Thompson JF, McCarthy SW, Shaw HM, Quinn MJ, et al. Subungual melanoma: A study of 124 cases highlighting features of early lesions, potential pitfalls in diagnosis, and guidelines for histological reporting. Am J Surg Pathol. 2007;31:1902-12.
2. Koga H, Saida T, Uhara H. Key points in dermoscopic differentiation between early nail apparatus melanoma and benign longitudinal melanonychia. J Dermatol. 2011;38:45-52.
3. Tosti A, Piraccini B, Cadore D. Dealing with melanonychia. Semin Cutan Med Surg. 2009;28:49-54.
4. Patel G, Ragi G, Krysicki J, Schwartz R. Subungual melanoma: A deceptive disorder. Acta Dermatovenerol Croat. 2008;16:236-42.
5. Cohen T, Busam K, Patel A, Brady M. Subungual melanoma: Management considerations. Am J Surg Pathol. 2008;195:244-8.
6. Andre J, Lateur N. Pigmented nail disorders. Dermatol Clin. 2006;24:329-39.
7. Braun R, Baran R, Le Gal F, Dalle S, Ronger S, Pandolfi R, et al. Diagnosis and management of nail pigmentations. J Am Acad Dermatol. 2007;56:835-47.
8. Ronge S, Touzet S, Ligeron C, Balme B, Viallard A, Barrut D, et al. Dermoscopic examination of nail pigmentation. Arch Dermatol. 2002;138:1327-33.
9. Thomas L, Dalle S. Dermoscopy provides useful information for the management of melanonychia striata. Dermatol Ther. 2007;20:3-10.
10. Jellinek N. Nail matrix biopsy of longitudinal melanonychia: Diagnostic algorithm including the matrix shave biopsy. J Am Acad Dermatol. 2007;56:803-10.
11. Motta A, López C, Acosta A, Peñaranda C. Subungual melanoma in situ in a Hispanic girl treated with functional resection and reconstruction with onychocutaneous toe free flap. Arch Dermatol. 2007;143:1600-2.
12. Banfield C, Dawber R. Nail melanoma: A review of the literature with recommendations to improve patient management. Br J Dermatol. 1999;141:628-32.
13. Gómez LM, Trujillo MC, Restrepo R. Melanoma subungueal in situ infantil: reconstrucción con colgajo vascularizado en dos tiempos. VIII Congreso Colombiano de Dermatología Pediátrica, Medellín, agosto de 2009.
14. Banfield C, Dawber R, Walker N, Stables G, Zeina B, Schomberg K. Mohs micrographic surgery for the treatment of in situ nail apparatus melanoma: A case report. J Am Acad Dermatol 1999;40:98-9.
15. Haneke E, Baran R. Longitudinal melanonychia. Dermatol Surg. 2001;27:580-4.
2. Koga H, Saida T, Uhara H. Key points in dermoscopic differentiation between early nail apparatus melanoma and benign longitudinal melanonychia. J Dermatol. 2011;38:45-52.
3. Tosti A, Piraccini B, Cadore D. Dealing with melanonychia. Semin Cutan Med Surg. 2009;28:49-54.
4. Patel G, Ragi G, Krysicki J, Schwartz R. Subungual melanoma: A deceptive disorder. Acta Dermatovenerol Croat. 2008;16:236-42.
5. Cohen T, Busam K, Patel A, Brady M. Subungual melanoma: Management considerations. Am J Surg Pathol. 2008;195:244-8.
6. Andre J, Lateur N. Pigmented nail disorders. Dermatol Clin. 2006;24:329-39.
7. Braun R, Baran R, Le Gal F, Dalle S, Ronger S, Pandolfi R, et al. Diagnosis and management of nail pigmentations. J Am Acad Dermatol. 2007;56:835-47.
8. Ronge S, Touzet S, Ligeron C, Balme B, Viallard A, Barrut D, et al. Dermoscopic examination of nail pigmentation. Arch Dermatol. 2002;138:1327-33.
9. Thomas L, Dalle S. Dermoscopy provides useful information for the management of melanonychia striata. Dermatol Ther. 2007;20:3-10.
10. Jellinek N. Nail matrix biopsy of longitudinal melanonychia: Diagnostic algorithm including the matrix shave biopsy. J Am Acad Dermatol. 2007;56:803-10.
11. Motta A, López C, Acosta A, Peñaranda C. Subungual melanoma in situ in a Hispanic girl treated with functional resection and reconstruction with onychocutaneous toe free flap. Arch Dermatol. 2007;143:1600-2.
12. Banfield C, Dawber R. Nail melanoma: A review of the literature with recommendations to improve patient management. Br J Dermatol. 1999;141:628-32.
13. Gómez LM, Trujillo MC, Restrepo R. Melanoma subungueal in situ infantil: reconstrucción con colgajo vascularizado en dos tiempos. VIII Congreso Colombiano de Dermatología Pediátrica, Medellín, agosto de 2009.
14. Banfield C, Dawber R, Walker N, Stables G, Zeina B, Schomberg K. Mohs micrographic surgery for the treatment of in situ nail apparatus melanoma: A case report. J Am Acad Dermatol 1999;40:98-9.
15. Haneke E, Baran R. Longitudinal melanonychia. Dermatol Surg. 2001;27:580-4.
How to Cite
1.
Molina AL, Gómez LM, Orozco B, Restrepo R. Subungueal melanoma treated with local resection and free graft. ¿How to treat a patient with longitudinal melanonychia? . rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2019 Aug. 9 [cited 2024 May 10];21(2):171-4. Available from: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/1014
Downloads
Download data is not yet available.
Downloads
Published
2019-08-09
How to Cite
1.
Molina AL, Gómez LM, Orozco B, Restrepo R. Subungueal melanoma treated with local resection and free graft. ¿How to treat a patient with longitudinal melanonychia? . rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2019 Aug. 9 [cited 2024 May 10];21(2):171-4. Available from: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/1014
Issue
Section
Case Report
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
