Nail surgery and malignant tumors of the nail unit

Julia O. Baltz, Richard K. Scher, Nathaniel J. Jellinek, Deborah F. MacFarlane

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

As many as 10% of patients seek dermatologic care for a nail disorder (Scher RK, Dermatologic Surgery Principles and Practice. Marcel Dekker Inc, New York, NY, 1996); therefore, it is important that dermatologists be comfortable performing nail surgery. Unfortunately, the diagnosis and treatment of nail tumors may be delayed due to lack of recognition of possible malignancy, fear of causing a permanent nail dystrophy from biopsy, or simply lack of training or comfort with basic nail surgery principles. It is the intent of this chapter to outline the steps to an approach to nail surgery so that the clinician is able to expose subungual conditions for anatomic delineation, biopsy, or excision with as painless a technique as possible and an acceptable cosmetic outcome. This chapter will conclude with an overview of malignant tumors of the nail unit.

Original languageEnglish (US)
Title of host publicationSkin Cancer Management
Subtitle of host publicationA Practical Approach
PublisherSpringer International Publishing
Pages225-214
Number of pages12
ISBN (Electronic)9783030505936
ISBN (Print)9783030505929
DOIs
StatePublished - Apr 26 2021

Keywords

  • Nail anesthesia
  • Nail avulsion
  • Nail bed punch biopsy
  • Nail matrix biopsy
  • Nail surgery instruments
  • Nail unit anatomy

ASJC Scopus subject areas

  • General Medicine

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