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Subungual Squamous Cell Carcinoma of the Left Fifth Toe: A Case Report  

Han, Seung Youl (Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin University)
Kang, Suk Ju (Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin University)
Chung, Seung Moon (Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin University)
Publication Information
Archives of Plastic Surgery / v.36, no.1, 2009 , pp. 101-104 More about this Journal
Abstract
Purpose: Subungual squamous cell carcinoma is a very rare malignant tumor of the digitus especially in toe making it very difficult to differentiate with tinea unguium, verruca vulgaris, eczema, pyogenic granuloma, and malignant melanoma due to their clinical similarities. Therefore this article reports on subungual squamous cell carcinoma of left 5th toe. Methods: A patient visited at our hospital due to pain and incurable inflammation on left 5th toe with no improvement for four months. Despite of antibiotics and dressing for a week, treatment was ineffective. After excisional biopsy, he was diagnosed with subungual squamous cell carcinoma. And ray amputation and prophylactic inguinal lymph node dissection was done. Results: The biopsy was showed irregular cells made up of anaplastic and squamous cells in the dermis and epidermis. And the inguinal lymph node showed no metastatsis. The patient had been treated without significant complications and recurrence for a year. Conclusion: This article emphasizes the need of diagnostic biopsy on the subungual lesions that have resistance to the conventional treatments. And if that is subungual squamous cell carcinoma, complete resection of the lesion and prophylactic inguinal lymph node dissection is essential.
Keywords
Subungual squamous cell carcinoma; Tumor of toe;
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1 Park JH, Oh CK, Jang HS, Kwon KS: Two cases of subungual squamous cell carcinomas. Korean J Dermatol 37: 1483, 1999
2 Chang SE, Choi JH, Sung KJ, Moon KC, Koh JK: Metastatic squamous cell carcinoma of the nail bed: a presenting sign of lung cancer. Br J Dermatol 141: 939, 1999   DOI   ScienceOn
3 Moon SE, An HT, Cho KH, Kim JA: Reconstruction of the defect with dermal graft after the removal of subungual squamous cell carcinoma. Korean J Dermatol 38: 945, 2000
4 Park HJ, Park CJ, Yi JY, Kim HO, Lee EJ: A case of subungual squamous cell carcinoma, Korean J Dermatol 35: 790, 1997
5 Attiyeh FF, Shah J, Booher RJ, Knapper WH: Subungual squamous cell carcinoma. JAMA 241: 262, 1979   DOI   ScienceOn
6 Lai CS, Lin SD, Tsai CW, Chou CK: Squamous cell carcinoma of the nail bed. Cutis 57: 341, 1996   PUBMED   ScienceOn
7 Kang HJ, Jung SH, Kwak YH, Han SB, Shin KH: Subungual squamous cell carcinoma of the toe: a case report. J Korean Foot Ankle Soc 11: 97, 2007
8 Huang KC, Hsu RW, Lee KF, Li YY: Late inguinal metastasis of well-differentiated subungual squamous cell carcinoma after radical toe amputation, Dermatol Surg 31: 784, 2005   DOI   ScienceOn