Verma Rajesh, Kakkar Sunita, Vasudevan Biju, Rana Vandana, Mitra Debdeep, Neema Shekar
Department of Dermatology, Command Hospital, Pune, Maharashtra, India.
Indian J Dermatol. 2015 Mar-Apr;60(2):188-90. doi: 10.4103/0019-5154.152526.
A 51-year-old male presented with blackish discoloration of nails of 10 months duration. Examination revealed black dystrophic left thumb finger nail. Detailed examination showed a mass under the dystrophic nail. Hutchinson sign was positive. Histopathology revealed characteristic features of melanoma. A detailed evaluation revealed no features of local or distant metastasis. The entire lesion was then removed surgically along with disarticulation at the interphalangeal joint. Resection-free margin was confirmed. This case is being reported for the rare occurrence of subungual melanoma in the Indian population and also for presentation with a long history of lesion with no evidence of metastasis.
一名51岁男性，指甲出现黑色变色10个月。检查发现左手拇指指甲营养不良呈黑色。详细检查显示营养不良指甲下有一个肿块。哈钦森征呈阳性。组织病理学显示为黑色素瘤的特征性表现。详细评估未发现局部或远处转移的特征。然后通过手术切除整个病变，并在指间关节处进行关节离断。确认切缘无肿瘤残留。报告该病例是因为印度人群中发生甲下黑色素瘤较为罕见，且该病例病变病史长但无转移证据。
