Reconstruction of a thumb defect with Integra following wide local excision of a subungual melanoma

Summary We present the case of a patient with a 1.2 mm Breslow thickness subungual melanoma of the thumb who refused the standard treatment of amputation. He underwent a 1 cm wide local excision of the lesion down to bone and the defect was covered with Integra and later grafted. The evidence for in...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2010-01, Vol.63 (1), p.e36-e37
Main Authors: Smock, E.D, Barabas, A.G, Geh, J.L.C
Format: Article
Language:English
Subjects:
Adult
Chondroitin Sulfates
Collagen
Conservative
Humans
Integra
Male
Melanoma
Melanoma - pathology
Melanoma - surgery
Plastic Surgery
Reconstructive Surgical Procedures - methods
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Subungual
Thumb - pathology
Thumb - surgery
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Summary:Summary We present the case of a patient with a 1.2 mm Breslow thickness subungual melanoma of the thumb who refused the standard treatment of amputation. He underwent a 1 cm wide local excision of the lesion down to bone and the defect was covered with Integra and later grafted. The evidence for increasingly conservative treatment of subungual melanoma is growing. He remains disease free and is left with a fully functional thumb and a good cosmetic result.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2009.05.010