Indian Journal of Dermatology (Jan 2015)

A rare case of subungual melanoma

  • Rajesh Verma,
  • Sunita Kakkar,
  • Biju Vasudevan,
  • Vandana Rana,
  • Debdeep Mitra,
  • Shekar Neema

DOI
https://doi.org/10.4103/0019-5154.152526
Journal volume & issue
Vol. 60, no. 2
pp. 188 – 190

Abstract

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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.

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