title: Melanoma of the Hand: Current Practice and New Frontiers.
abstract: Melanoma of the hand represents a complicated clinical entity. Anatomic features of the hand create challenges in successful management of melanoma not encountered elsewhere in the body. The objectives of this article are to outline current standards for managing melanoma of the hand including diagnosis, surgical, and chemotherapeutic management. Particular emphasis will be placed on currently debated topics of the role of sentinel lymph node biopsy, the role of Mohs micrographic surgery, tissue sparing management of subungual melanoma, and the consideration of melanoma of the hand as a distinct entity based on clinical and molecular studies.
authors.affiliation: Division of Plastic Surgery, University of Kentucky College of Medicine, 740 S. Limestone Street, Lexington, KY 40536, USA. jbturn3@uky.edu.
authors.forename: John Brad
authors.initials: JB
authors.lastname: Turner
authors.affiliation: Division of Plastic Surgery, University of Kentucky College of Medicine, 740 S. Limestone Street, Lexington, KY 40536, USA. brink2@uky.edu.
authors.forename: Brian
authors.initials: B
authors.lastname: Rinker
keywords: hand; melanoma; sentinel lymph node; subungual; upper extremity