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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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References
- Cancer statistics.CA Cancer J Clin. 1995; 45: 8-30
- Cutaneous melanoma.N Engl J Med. 1991; 325: 171-180
- Acral lentiginous melanoma: a clinicopathologic entity.Ann Surg. 1982; 195: 632-645
- Acral melanoma: a review of 185 patients with identification of prognostic variables.J Surg Oncol. 1990; 45: 91-98
- Comparison of clinical behavior of melanoma of the hands and fect.Cancer. 1977; 40: 3168-3173
- Melanoma of palms, soles, and nail-beds.Scand J Plast Reconstr Hand Surg. 1992; 26: 287-292
- Time trends in malignant melanoma of the upper limb in Connecticut.Cancer. 1991; 68: 1854-1858
- Non-subungual melanomas of the hand.J Hand Surg. 1992; 17B: 433-436
- Subungual malignant melanoma: clinicopathological features of 100 cases.Histopathology. 1991; 19: 425-429
- Subungual melanoma of the hand.J Hand Surg. 1990; 15B: 288-290
- Cutaneous malignant melanoma.in: New concepts in surgical pathology of the skin. John Wiley & Sons, New York1976: 73-96
- Acral lentiginous melanoma.Arch Dermatol. 1980; 116: 773-776
- Acral lentiginous melanoma.Arch Surg. 1995; 130: 88-92
- Acral melanoma.Int J Dermatol. 1990; 29: 107-112
- Improvement in survival rate of patients with acral melanoma observed in the past 22 years in Sendai, Japan.Clin Exp Dermatol. 1993; 18: 107-110
- Acral lentiginous melanoma.Am J Surg. 1993; 166: 64-67
- Melanoma arising under the nail.J Surg Oncol. 1982; 21: 219-222
- Clinical and histopathological characteristics of early lesions of subungual malignant melanoma.Cancer. 1989; 63: 556-560
- Differential diagnosis of subungual melanoma from, a surgical point of view.Br J Surg. 1989; 76: 1156-1160
- Lymphadenectomy in the management of stage I malignant melanoma: a prospective randomized study.Mayo Clin Proc. 1986; 61: 697-705
- Subungual melanoma: 25-year review of cases.Ann Surg. 1965; 161: 545-552
- Inefficacy of immediate node dissection in stage I melanoma of the limbs.N Engl J Med. 1977; 297: 627-630
- Efficacy of elective lymph node dissection in 2,347 patients with clinical stage I malignant melanoma.Surg Gynecol Obstet. 1985; 161: 575-580
- Efficacy of elective lymph node dissection in patients with intermediate thickness primary melanoma.Ann Surg. 1983; 198: 379-385
- A multifactorial analysis of melanoma: prognostic histopathologic features comparing Clark's and Breslow's staging methods.Ann Surg. 1978; 188: 732-742
- Acral (volar-subungual) melanoma.Br J Surg. 1985; 72: 610-613
- Subungual melanoma: an eighteen-year review.Surgery. 1994; 116: 96-100
- Surgical aspects of subungual malignant melanomas.Ann Surg. 1992; 216: 692-695
Article info
Publication history
Accepted:
October 15,
1996
Received:
July 12,
1995
Footnotes
*No benefits in any form have been received or will be received from a commerical party related directly or indirectly to the subject of this article.
Identification
Copyright
© 1997 The American Society for Surgery of the Hand. All rights reserved. Published by Elsevier Inc.