Open AccessA rare case of subungual melanoma
Author(s) -
Rajesh Verma,
Sunita Kakkar,
Biju Vasudevan,
Vandana Rana,
Debdeep Mitra,
Shekar Neema
Publication year - 2015
Publication title -
indian journal of dermatology/indian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.395
H-Index - 36
eISSN - 1998-3611
pISSN - 0019-5154
DOI - 10.4103/0019-5154.152526
Subject(s) - medicine , nail matrix , nail (fastener) , histopathology , histopathological examination , disarticulation , lesion , metastasis , melanoma , physical examination , dermatology , pathology , surgery , nail plate , cancer , amputation , metallurgy , psoriasis , materials science , cancer research
A 51-year-old male presented with blackish discoloration of nails of 10 months duration. Examination revealed black dystrophic left thumb finger nail. Detailed examination showed a mass under the dystrophic nail. Hutchinson sign was positive. Histopathology revealed characteristic features of melanoma. A detailed evaluation revealed no features of local or distant metastasis. The entire lesion was then removed surgically along with disarticulation at the interphalangeal joint. Resection-free margin was confirmed. This case is being reported for the rare occurrence of subungual melanoma in the Indian population and also for presentation with a long history of lesion with no evidence of metastasis.