Treatment subungual melanoma in foot – case report

Abstract

subungual melanoma is rare disease and has worse prognosis than cutaneous melanoma in other places. This type of melanoma is observed accounting for 1 to 3% of all cutaneous melanoma in caucasians. it is estimated that 1 of every 39 people in the western countries will be diagnosed melanoma of the skin during lifetime. The number of patients with skin melanoma is increasing and cause a growing economic problem for health care. Dermoscopy or videos dermoscopy is the basis for the initial diagnosis of melanoma of the skin. sensitivity dermoscopy is up to 96.3% and the specificity up to 94.2%. The literature on dermoscopic examination of the nails is limited to very few published observations. large number of information is available on dermoscopy of pigmented lesions elsewhere on the body skin. Dermoscopy can help clinicians accurately decide if a biopsy of the nail apparatus is necessary in cases of melanoma suspicious. surgical biopsy of the lesion is the gold standard for diagnosis subungual melanoma. The “gold standard” of treatment is surgical amputation and sentinel lymph node biopsy. in this article the authors presented a case of a woman who was admitted to the hospital because of subungual melanoma in foot. The patient underwent amputation of toe with sentinel lymph node biopsy and in the second day after surgery was discharged home.