title: Subungual carcinomas in multiple digits.
abstract: We report a patient with subungual squamous cell carcinoma arising in more than one digit who also had positive immunostaining for human papillomavirus (HPV). The patient worked for a wastewater utility company for 22 years and placed his hands in stagnant wastewater daily.
authors.affiliation: Integris Baptist Medical Center of Oklahoma, Oklahoma City, OK 73112, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Porembski
authors.forename: G M
authors.initials: GM
authors.lastname: Rayan
mesh_terms: D000671:Amputation, Surgical; D001913:Bowen's Disease / Q000175:diagnosis* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009260:Nail Diseases / Q000175:diagnosis* / Q000601:surgery; D009361:Neoplasm Invasiveness; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis* / Q000601:surgery; D016609:Neoplasms, Second Primary / Q000175:diagnosis* / Q000601:surgery; D009784:Occupational Diseases / Q000175:diagnosis* / Q000601:surgery; D016273:Occupational Exposure / Q000009:adverse effects; D030361:Papillomavirus Infections / Q000175:diagnosis / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000601:surgery