A Call for Evidence-Based Conservative Management of Nail Unit Malignancies

被引：4

作者：

Stiff, Katherine M.

Jellinek, Nathaniel

Knackstedt, Thomas J.

机构：

[1] MetroHlth Syst, Dept Dermatol, Cleveland, OH USA

[2] Dermatol Profess Inc, East Greenwich, RI USA

[3] Brown Univ, Warren Alpert Med Sch, Dept Dermatol, Providence, RI 02912 USA

[4] Univ Massachusetts, Sch Med, Dept Dermatol, Worcester, MA USA

[5] Case Western Reserve Univ, Sch Med, Cleveland, OH USA

来源：

PLASTIC AND RECONSTRUCTIVE SURGERY | 2022年 / 149卷 / 04期

关键词：

SQUAMOUS-CELL CARCINOMA; MOHS MICROGRAPHIC SURGERY; MELANOMA IN-SITU; SUBUNGUAL MELANOMA; SURGICAL-MANAGEMENT; APPARATUS MELANOMA; FUNCTIONAL SURGERY; PROGNOSTIC-FACTORS; RISK-FACTORS; SKIN-GRAFT;

D O I：

10.1097/PRS.0000000000008968

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Nail unit squamous cell carcinoma and melanoma are the most common malignancies of the nail apparatus. Compared to their cutaneous counterparts, they are diagnosed later and perceived as more aggressive. This may result in overzealous management, including radiographic imaging with poor sensitivity and specificity, interventional nodal staging by sentinel lymph node biopsy, amputation over digit-sparing tumor resections, and elaborate reconstructions after tumor extirpation. In this review article, the authors evaluate the evidence behind several misconceptions in nail malignancy management and provide evidence-based guidance for more conservative care.

引用

页码：720E / 730E

页数：11

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