Linares M D, Hardisson D, Perna C
Plastic and Reconstructive Surgery Service, University Hospital Ramón y Cajal, Alcalá de Henares University, Madrid, Spain.
Scand J Plast Reconstr Surg Hand Surg. 1998 Sep;32(3):347-50. doi: 10.1080/02844319850158723.
A 75-year-old woman presented with a four month history of a slowly growing tumour on the distal portion of the third finger of her left hand. The lesion suggested clinically an inflammatory process or an epidermoid carcinoma. The finger was amputated through the proximal interphalangeal joint. Microscopic examination showed an acral-lentiginous melanoma, subungual type (Clark level V). No elective lymph node dissection was done, and no prophylactic chemotherapy was given. The patient remains free of disease eight months after operation. Clinicians should be aware of this rare lesion, which may mimic other benign or malignant conditions.
一名75岁女性，左手无名指末端有一个缓慢生长的肿瘤，病程4个月。临床上该病变提示为炎症过程或表皮样癌。手指经近端指间关节处截肢。显微镜检查显示为甲下型肢端雀斑样黑色素瘤（克拉克分级V级）。未进行选择性淋巴结清扫，也未给予预防性化疗。术后8个月患者仍无疾病复发。临床医生应注意这种罕见病变，它可能会与其他良性或恶性疾病相混淆。
