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Journal of Hand Surgery (British and European Volume)
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Articles

Subungual Melanoma of the Hand

D. A. HUDSON, J. E. J. KRIGE, R. M. STROVER and HELEN S. KING

From the University of Cape Town and the Melanoma Clinic, Groote Schuur Hospital, Cape Town, South Africa

Correspondence: Dr Don Hudson, Department of Plastic Surgery, Groote Schuur Hospital, Observatory 7925, South Africa.

Thirteen patients with subungual melanoma on the fingers had a mean delay before diagnosis of 1.2 years. Four patients presented with local recurrence after inadequate initial treatment and two presented with systemic metastases. Mean primary subungual melanoma thickness was 6.1 mm. and nine patients had Clark level IV or V disease. All patients underwent digital amputation. Two of seven patients who had localised disease initially are alive at 29 and 44 months. One of four patients who had locally recurrent melanoma is alive at 36 months. Both patients with systemic disease at presentation died. Advanced disease and delayed presentation contributed to the poor prognosis of subungual melanoma in our patients.

Journal of Hand Surgery (British and European Volume), Vol. 15, No. 3, 288-290 (1990)
DOI: 10.1016/0266-7681(90)90005-O
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This article has been cited by other articles:


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 Arch DermatolHome page
C. Leaute-Labreze, P. Bioulac-Sage, and A. Taieb
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[Abstract] [PDF]