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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Subungual squamous cell carcinoma masquerading as a melanotic macule.
    Author: Oon HH, Kumarasinghe SP.
    Journal: Singapore Med J; 2008 Mar; 49(3):e76-7. PubMed ID: 18362992.
    Abstract:
    Subungual squamous cell carcinoma is a rare condition. Diagnosis is often delayed because it presents with minimal nail changes and mimics a number of benign nail conditions. We report a 43-year-old Chinese man who presented with a three-year history of an indolent melanotic macule of the fingernail. Histology from a punch biopsy revealed a well-differentiated squamous cell carcinoma. Wide local excision with full thickness skin grafting was performed. Physicians should have a high index of clinical suspicion as early nail biopsy and prompt tumour clearance can preserve joint function.
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