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 NET CASE
Year : 2007  |  Volume : 73  |  Issue : 6  |  Page : 445-

Squamous cell carcinoma of the thumb nail bed


Department of Orthopaedic Surgery, Faculty of Medicine and Health Science, University Putra Malaysia, Kuala Lumpur, Malaysia

Correspondence Address:
Manohar Arumugam
Department of Orthopaedic Surgery, Faculty of Medicine and Health Science, University Putra Malaysia, Clinical Campus, Jalan Masjid 50586, Kuala Lumpur
Malaysia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.37081

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Squamous cell carcinoma arising from the nail bed is not common. This condition can be easily misdiagnosed, especially if there is preceding trauma. We present here a case of squamous cell carcinoma of the right thumb in a 70 year-old man. The distal phalanx and part of the proximal phalanx were also involved. We performed a disarticulation of the metacarpophalangeal joint of the right thumb. The wound healed well. If an early diagnosis is made, then Moh's micrographic surgery or wide local excision with the use of a local flap could be advocated. In late stages, amputation or disarticulation is the treatment of choice.






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Online since 15th March '04
Published by Wolters Kluwer - Medknow