Subungual squamous cell carcinomas treated by mohs micrographic surgery

Soo Hyun Lee, Mi Ryung Roh, Kee Yang Chung

    Research output: Contribution to journalArticle

    1 Scopus citations

    Abstract

    Squamous cell carcinoma (SCC) of the nail bed is rare, and it usually mimics a variety of diseases. Thus, a true diagnosis of subungual SCC may be delayed for years. The appearance of a subungual tumor at presentation is often non-diagnostic, and exploratory nail-plate removal with biopsy is recommended. We have experienced four patients with subungual SCC, and they were treated by Mohs micrographie surgery (MMS). In an average follow-up of 13.5 months, there was no recurrence in all cases. However, in one case, amputation was performed due to local periosteal invasion. In cases of subungual SCC without bone involvement, particular virtue of MMS over amputation is that it permits the preservation of both function and cosmesis of me nail unit. Since the maintenance of function is of the utmost priority, MMS can be considered the most appropriate technique, as it enables us to maximize the preservation of normal anatomy of the finger.

    Original languageEnglish (US)
    Pages (from-to)425-431
    Number of pages7
    JournalKorean Journal of Dermatology
    Volume50
    Issue number5
    StatePublished - May 1 2012

    Keywords

    • Mohs micrographic surgery
    • Subungual squamous cell carcinoma

    ASJC Scopus subject areas

    • Dermatology

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  • Cite this

    Lee, S. H., Roh, M. R., & Chung, K. Y. (2012). Subungual squamous cell carcinomas treated by mohs micrographic surgery. Korean Journal of Dermatology, 50(5), 425-431.