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Two-year follow-up of a subungual keratoacanthoma treated by curettage has shown partial
reconstitution of the bony defect in the distal phalanx. Previous recommendations
for treatment of this tumor have been divergent, ranging from conservative local excision
to aggressive amputation. Review of the 18 cases reported in the literature reveals
that 86% of the lesions ultimately treated by curettage did not recur. Two patients
with recurrent disease after curettage were cured by eventual conservative amputation.
Aggressive ablative surgery as the initial intervention for this benign condition
should be discouraged.
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Article info
Publication history
Accepted:
November 13,
1985
Received:
August 13,
1985
Identification
Copyright
© 1986 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
