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Research Article| Volume 22, ISSUE 2, P354-360, March 1997

Melanoma of the hand

  • Author Footnotes
    1 From the Departments of Surgical Oncology and Orthopaedics, University of Illinois at Chicago, Chicago, IL.
    Michael Warso
    Correspondence
    Reprint requests: Michael A. Warso, MD, Department of Surgical Oncology, University of Illinois at Chicago, 840 South Wood Street M/C 820, Chicago, IL 60612.
    Footnotes
    1 From the Departments of Surgical Oncology and Orthopaedics, University of Illinois at Chicago, Chicago, IL.
    Affiliations
    Chicago, IL, USA
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  • Author Footnotes
    1 From the Departments of Surgical Oncology and Orthopaedics, University of Illinois at Chicago, Chicago, IL.
    Timothy Gray
    Footnotes
    1 From the Departments of Surgical Oncology and Orthopaedics, University of Illinois at Chicago, Chicago, IL.
    Affiliations
    Chicago, IL, USA
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  • Author Footnotes
    1 From the Departments of Surgical Oncology and Orthopaedics, University of Illinois at Chicago, Chicago, IL.
    Mark Gonzalez
    Footnotes
    1 From the Departments of Surgical Oncology and Orthopaedics, University of Illinois at Chicago, Chicago, IL.
    Affiliations
    Chicago, IL, USA
    Search for articles by this author
  • Author Footnotes
    1 From the Departments of Surgical Oncology and Orthopaedics, University of Illinois at Chicago, Chicago, IL.
      This paper is only available as a PDF. To read, Please Download here.
      Melanomas of the hand are relatively rare, and much confusion exists concerning their pathology and treatment. We reviewed our experience with 39 patients diagnosed with melanoma of the hand. The data were categorized by site, histology, and type of treatment. Most primaries were on the digits, with a few tumors arising on the palm. The most common histology was superficial spreading melanoma, even in the subungual location. Acral lentiginous melanoma accounted for only 8 of 39 cases. Most patients could be treated without radical amputations, even for melanomas on the digits. Réview of our patients emphasized the need for early diagnosis. Biopsy of all unexplained pigmented lesions on the hands can lead to early diagnosis, relatively nondeforming treatment, and good survival.
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