title: Conservative surgical management of in situ subungual melanoma: long-term follow-up.
abstract: Subungual melanoma represents 20% of all melanomas in Hispanic population. Here, we report the outcome of 15 patients with in situ subungual melanoma treated with resection of the nail unit with a 5-mm margin without amputation, followed up for 55.93 ± 43.08 months. The most common complications included inclusion cysts and nail spicules. We found no evidence of local or distant recurrences at the last visit of our follow up. Functional outcome was good, with only one patient reporting persistent mild pain. These results support functional, non-amputative surgical management of in situ subungual melanomas.
authors.affiliation: Hospital General Dr. Manuel Gea González - Mexico City, Mexico.
authors.forename: Mariana Catalina De
authors.initials: MC
authors.lastname: Anda-Juárez
authors.affiliation: Hospital General Dr. Manuel Gea González - Mexico City, Mexico.
authors.forename: María Abril
authors.initials: MA
authors.lastname: Martínez-Velasco
authors.affiliation: Hospital General Dr. Manuel Gea González - Mexico City, Mexico.
authors.forename: Verónica
authors.initials: V
authors.lastname: Fonte-Ávalos
authors.affiliation: Hospital General Dr. Manuel Gea González - Mexico City, Mexico.
authors.forename: Sonia
authors.initials: S
authors.lastname: Toussaint-Caire
authors.affiliation: Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán - Mexico City, Mexico.
authors.forename: Judith
authors.initials: J
authors.lastname: Domínguez-Cherit
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001706:Biopsy; D002648:Child; D002675:Child, Preschool; D046169:Dermoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008545:Melanoma / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009260:Nail Diseases / Q000473:pathology / Q000601:surgery*; D009364:Neoplasm Recurrence, Local; D015203:Reproducibility of Results; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult