Squamous cell carcinoma arising in a psoriatic nail bed: case report with discussion of diagnostic difficulties and therapeutic options.
We describe a squamous cell carcinoma arising from a psoriatic nail bed. The tumour had a verrucous surface and was very well differentiated, raising the possibility of early verrucous carcinoma. Occurrence of any type of squamous carcinoma in this site and background is extremely rare. Particular diagnostic and therapeutic questions arise in this unusual setting. We discuss the aetiology and diagnostic differentiation from other nail bed squamoproliferative lesions, particularly so-called subungual keratoacanthoma. We also discuss therapeutic options, including Moh's surgery and retinoids.
Dobson
C M
CM
Department of Dermatology, Royal Liverpool University Hospital, Prescot Street, UK. cdobson8@hotmail.com
Azurdia
R M
RM
King
C M
CM
D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009260:Nail Diseases / Q000150:complications* / Q000175:diagnosis; D011565:Psoriasis / Q000150:complications*; D012878:Skin Neoplasms / Q000150:complications* / Q000175:diagnosis