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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Longitudinal melanonychia: detection and management of nail melanoma.
    Author: Mannava KA, Mannava S, Koman LA, Robinson-Bostom L, Jellinek N.
    Journal: Hand Surg; 2013; 18(1):133-9. PubMed ID: 23413869.
    Abstract:
    Malignant melanoma of the nail confers a higher mortality rate compared to other cutaneous melanomas, which is often attributable to delayed diagnosis. Two-thirds of nail melanomas present as longitudinal melanonychia (LM), longitudinally-oriented brown-black bands of pigment in the nail plate. This article delineates the appropriate clinical approach toward evaluation and management of a patient with longitudinal melanonychia, which includes determining risk factors for melanoma, recognizing scenarios in which biopsy is indicated, selecting the appropriate biopsy technique, and managing a patient in whom the diagnosis of nail melanoma has been made.
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