|Discussion in 'All Categories' started by Sri Prasanna - Jul 20th, 2012 9:06 am.|
|Hi am a 22 year old gal. From the past six months or so i am observing a grey, perfectly straight line on my right hand index finger nail. I thought it was normal and will be getting away by time. But one day i googled it in net and found out that it is something related to 'subungual melanoma'. I was really worried on reading that. Other than this grey straight line onmy finger nail i really don't have any other health problems. Do i need to see a doc immediately? Please adivice me.|
re: subungual melanoma by Sadhana - Jul 24th, 2012 1:06 pm
|Dear Sri Prasanna
I have discussed your case with our consultant and according to him. Subungual melanoma is rare, comprising no more than 1% melanoma in white-skinned individuals. It arises in people of all races, whatever their skin colour. Although forget about common in dark skin than fair skin, it is the most common type of melanoma diagnosed in deeply pigmented individuals. It is most diagnosed between the age of 40 and 70.
Detecting melanoma is confirmed by biopsy from the nail matrix and nail bed. It can be a difficult diagnosis requiring examination by expert dermatopathologists. The pathologist should report whether the melanoma is in-situ or invasive. The description of invasive melanoma should include its thickness in millimetres and what level of tissue has been invaded.
The melanoma should be removed surgically. This involves removal of the entire nail apparatus. Sometimes the end of the finger or toe is amputated. Some patients might be offered sentinel node biopsy to determine if the melanoma has spread to local lymph nodes.
The real key associated with chance of spread of melanoma, metastasis and finish excision of the primary tumour. Delay in diagnosis is common with subungual melanoma, specially when it affects the toe, and some of these tumours have previously spread during the time of diagnosis.
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