Can MRI detect Subungual melanoma?

Three cases of bony exostosis were confirmed by MRI, although x-ray exams were also diagnostic. One case of subungual melanoma showed nail plate and nail matrix damage by MRI.

What is a subungual tumor?

Subungual exostosis, also known as Dupuytren exostosis, is an uncommon, solitary, benign bone lesion arising from the distal phalanx beneath the nail. Although it can occur at any age, it is predominantly found in young adults and adolescents, with females being affected twice as often as males.

What is a subungual mass?

Subungual keratoacanthoma, is a benign tumor that usually presents as a painful, locally aggressive, and rapidly growing mass with a well-defined osteolytic destruction of the underlying bone.

How long can you live with subungual melanoma?

If you get treatment soon after the condition shows up, at Stage IA, the survival rate is 97% at five years, and 95% at 10 years. The survival rates can get lower depending on how advanced the condition is when diagnosed and treated.

Can subungual melanoma be benign?

Subungual pigmentation can have benign and malignant etiologies. A common and important differential diagnosis is between subungual hematoma and subungual acrolentiginous melanoma.

What kind of doctor treats subungual melanoma?

Diagnosis and treatment of subungual melanoma A dermatologist or nail specialist will remove some or all of the nail for examination. If there’s a diagnosis of cancer, depending on the severity and how early it was found, treatment can include: surgery to remove the affected nail.

Do blood tests detect melanoma?

Blood tests aren’t used to diagnose melanoma, but some tests may be done before or during treatment, especially for more advanced melanomas. Doctors often test blood for levels of a substance called lactate dehydrogenase (LDH) before treatment.

Can you have subungual melanoma for years?

The survival rates can get lower depending on how advanced the condition is when diagnosed and treated. If subungual melanoma is diagnosed at its final stage, or Stage IV, the survival rate is 15% to 20% at five years and 10% to 15% at 10 years.

What does pleomorphic fibroma of the subungual region look like?

We describe an interesting case of pleomorphic fibroma of the subungual region in a middle aged woman who presented with a recurrence of thickening, lateral ridging, and a midline split of the right third fingernail, 20 years after initial excision.

What is the role of imaging in the workup of subungual tumors?

Imaging plays an important role in the detection and differentiation of subungual tumors because of their nonspecific clinical manifestations and functional significance. Radiography and computed tomography can be helpful in detecting calcification and evaluating adjacent bone structures.

How are subungual malignancies diagnosed?

Thus, radiologists should always keep in mind that malignancy is a possible diagnosis with subungual tumors. Various imaging techniques are used for the staging and postoperative follow-up of subungual malignancies.

What is subungual melanoma?

Subungual melanoma is uncommon, usually affects the thumb and big toe, and occurs in middle-aged and elderly patients. It has no gender predilection, unlike other types of malignant melanoma, which are more common in women.