Incipient Melanonychia: Benign Finding or Occult Malignancy? A Case Report of Subungual Melanoma.

Autor: Quiroz Alfaro AJ; Medicine and Health Sciences, Universidad Colegio Mayor de Nuestra Señora del Rosario, Bogotá D.C., COL., Greiffenstein J; Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, COL., Herrera Ortiz AF; Radiology, Fundación Santa Fe de Bogotá, Bogotá D.C., COL.; Radiology, Universidad El Bosque, Bogotá D.C., COL., Dussan Tovar CA; Epidemiology, Universidad de La Sabana, Chía, COL., Saldarriaga Santamaría S; Dermatology, Universidad CES, Medellín, COL., Cifuentes Burbano J; Dermatopathology, Universidad CES, Medellín, COL., García N; Medicine, Universidad San Martín, Medellín, COL., Rodríguez Díaz MC; Medicine, Universidad el Bosque, Bogotá D.C, COL., Sierra Molina SM; Medicine, Universidad de los Andes, Bogotá D.C., COL., Jiménez Calfat G; Surgical Oncology, Universidad CES, Medellín, COL.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Jan 27; Vol. 15 (1), pp. e34292. Date of Electronic Publication: 2023 Jan 27 (Print Publication: 2023).
DOI: 10.7759/cureus.34292
Abstrakt: Subungual melanomas are rare neoplasms that tend to debut as longitudinal melanonychia. They are primarily found in patients over 60 years of age and are usually diagnosed late, representing a diagnostic challenge. We present a case report of a 59-year-old female Hispanic patient who initially presented with melanonychia and was eventually diagnosed with subungual melanoma in situ. She was surgically treated and, after three months, remained healthy. Relevant risk factors, clinical and onychoscopic findings, diagnostic criteria, and treatment options are also discussed. Since many benign entities present similarly, high clinical suspicion is critical for diagnosing this entity.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Quiroz Alfaro et al.)
Databáze: MEDLINE