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Journal of Hand Surgery (British and European Volume)
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Articles

Squamous Cell Carcinoma of the Lateral Nail Fold

A. FIGUS
S. KANITKAR
D. ELLIOT

From the Hand Surgery Department of St Andrew’s Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, T, Essex, UK

Correspondence: Mr Andrea Figus, MD, St Andrew’s Centre for Plastics Surgery and Burns, Hand Surgery Department, Broomfield Hospital, Court Road, Chelmsford, Essex CM1 7ET, UK. Tel.: +44 335 587 4800; fax: +44 1621 841 127.0 E-mail: andreafigus{at}email.it, andreafigus{at}hotmail.com

The digital nail complex is occasionally involved by squamous cell carcinoma. The published literature has either been indiscriminating of the site of origin of this tumour within the nail complex or has concentrated attention on the nail bed as the site of pathology. Tumours originating in the lateral nail fold can be clearly differentiated from those of the nail bed itself. This study identifies six cases of squamous cell carcinoma arising in the lateral nail fold. While surgical convention remains to amputate the digital tip for squamous cell carcinoma of any part of the nail complex, the dermatological literature identifies that local surgery can be curative for these tumours, when presenting early and without bone involvement, although offering no discussion of reconstruction. Reconstruction is desirable and methods of achieving this following local excision of lateral nail fold tumours are illustrated in this series.

Key Words: squamous cell carcinoma • nail fold • nail bed • perionychium

Journal of Hand Surgery (British and European Volume), Vol. 31, No. 2, 216-220 (2006)
DOI: 10.1016/J.JHSB.2005.10.018
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