title: Fingertips squamous cell carcinoma: Treatment outcomes with surgical excision and full thickness skin graft.
abstract: Fingertips squamous cell carcinoma is a rare disease. An often missed or delayed diagnosis, the affected finger could result in an amputation. Our aim is to focus on the results of surgical excision of fingertips squamous cell carcinoma. Between 2005 and 2011, eighteen fingers on eight patients with a mean age of 62.5 years underwent surgery. The surgical excision margin was 5mm and the defect was covered by a full thickness skin graft. Three fingers were revised for having a non-secure margin with an enlarged excision and two fingers were amputated at the distal phalange. The diagnosis is often missed or delayed, resulting in an amputation of the affected finger. Aesthetic outcomes range from very good to good satisfaction except for one, which was bad.
authors.affiliation: Hôpital Saint-Louis, service de chirurgie plastique, reconstructrice et esthétique, 1, avenue Claude-Vellefaux, 75010 Paris, France. Electronic address: dr_alsadoudi@hotmail.com.
authors.forename: I
authors.initials: I
authors.lastname: Alghamdi
authors.affiliation: Hôpital Saint-Louis, service de chirurgie plastique, reconstructrice et esthétique, 1, avenue Claude-Vellefaux, 75010 Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: Robert
authors.affiliation: Hôpital Saint-Louis, service de chirurgie plastique, reconstructrice et esthétique, 1, avenue Claude-Vellefaux, 75010 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Revol
mesh_terms: D000368:Aged; D000671:Amputation, Surgical; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000601:surgery*; D057210:Delayed Diagnosis; D003951:Diagnostic Errors; D005260:Female; D005385:Fingers / Q000601:surgery*; D006801:Humans; D008297:Male; D000072662:Margins of Excision; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D012878:Skin Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016038:Skin Transplantation; D016896:Treatment Outcome
keywords: Amputation digitale; Bowen's disease; Carcinome épidermoïde; Extrémité digitale; Finger amputation; Fingertips; Maladie de Bowen; Multidigital; Pluridigitale; Squamous cell carcinoma