Subungual melanoma

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Subungual melanoma

by patjnj on Thu May 06, 2010 05:28 AM

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A young friend of mine has been dxed by her dermatologist with subungual (under the fingernail) melanoma; no biopsy has been performed as yet.  She is scheduled to have the lesion removed by her derm's "hand specialist" in two weeks.  I think that given her proximity to Pittsburgh, she should head straight to the Melanoma Center at UPitt Medical Center for this combo biopsy/lesion removal.  Before I suggest this to her, I want to be sure that I'm not overreacting... I'm thinking that if it is indeed melanoma, she might need other testing done, follow-up treatments, etc., and it makes sense to me to have all of this done in one facility.

Any thoughts?

Thank you.

RE: Subungual melanoma

by fxrchopper2003 on Sat May 08, 2010 03:49 AM

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On May 06, 2010 5:28 AM patjnj wrote:

A young friend of mine has been dxed by her dermatologist with subungual (under the fingernail) melanoma; no biopsy has been performed as yet.  She is scheduled to have the lesion removed by her derm's "hand specialist" in two weeks.  I think that given her proximity to Pittsburgh, she should head straight to the Melanoma Center at UPitt Medical Center for this combo biopsy/lesion removal.  Before I suggest this to her, I want to be sure that I'm not overreacting... I'm thinking that if it is indeed melanoma, she might need other testing done, follow-up treatments, etc., and it makes sense to me to have all of this done in one facility.

Any thoughts?

Thank you.

Your friend could have a very rare melanoma.  My husband had an acral lentigenous, which is a subungual melanoma, please look it up!  They can be fast growing, which his was caught as soon as I saw the black dots appear on one side of the nail fold, then when it appeared on the other side I knew.  I am a chemo/medsurg R.N. at that.  Do not allow her to waste 2 weeks.  Go to another doctor before this can go deeper into the dermis and the melanocytes that are malignant can travel to the lymphnodes making this rare melanoma Stage 3.  I repeat do not wait 2 weeks for a biopsy.  Our first dr. didn't listen and didn't do a bx, he thought it was an ingrown toenail.  I took a pic and showed the podiatrist where I worked and he said get him in as soon as possible.  He never questioned a bx, and as a matter of fact he told my husband he was going to take his toe anyways.  It still was to late.  Get another Dr. I repeat, especially if a doctor suspects this and wants the patient to wait 2 weeks, crazy, even from a professional stand point.  Follow your instincts, do not question them!!!

RE: Subungual melanoma

by bella2003 on Mon Jul 11, 2011 10:01 PM

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On May 08, 2010 3:49 AM fxrchopper2003 wrote:

On May 06, 2010 5:28 AM patjnj wrote:

A young friend of mine has been dxed by her dermatologist with subungual (under the fingernail) melanoma; no biopsy has been performed as yet.  She is scheduled to have the lesion removed by her derm's "hand specialist" in two weeks.  I think that given her proximity to Pittsburgh, she should head straight to the Melanoma Center at UPitt Medical Center for this combo biopsy/lesion removal.  Before I suggest this to her, I want to be sure that I'm not overreacting... I'm thinking that if it is indeed melanoma, she might need other testing done, follow-up treatments, etc., and it makes sense to me to have all of this done in one facility.

Any thoughts?

Thank you.

Your friend could have a very rare melanoma.  My husband had an acral lentigenous, which is a subungual melanoma, please look it up!  They can be fast growing, which his was caught as soon as I saw the black dots appear on one side of the nail fold, then when it appeared on the other side I knew.  I am a chemo/medsurg R.N. at that.  Do not allow her to waste 2 weeks.  Go to another doctor before this can go deeper into the dermis and the melanocytes that are malignant can travel to the lymphnodes making this rare melanoma Stage 3.  I repeat do not wait 2 weeks for a biopsy.  Our first dr. didn't listen and didn't do a bx, he thought it was an ingrown toenail.  I took a pic and showed the podiatrist where I worked and he said get him in as soon as possible.  He never questioned a bx, and as a matter of fact he told my husband he was going to take his toe anyways.  It still was to late.  Get another Dr. I repeat, especially if a doctor suspects this and wants the patient to wait 2 weeks, crazy, even from a professional stand point.  Follow your instincts, do not question them!!!

I went to the doc today.I'm told I need a biopsy, for subungual melanoma.  The doc wants it done this week.  I've had this spot on my big toe for 7 weeks now.  I read your post is your husband ok? I read that this is hard to diagnose do you know why?

RE: Subungual melanoma

by fxrchopper2003 on Tue Jul 12, 2011 05:06 AM

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Is this for you or your friend?  How can anyone be over cautious in the medical field?

RE: Subungual melanoma

by darby on Thu Jun 27, 2013 05:00 AM

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I just was told that I most likely had subungual melanoma in my right thumb. Okay now what? I live in a rural town in Montana,and dont know where to go for a biopsy. I learned that from here they send biopsies to univ. Of Washington.  The more I read I'm seeing that there are different types of biopsies. Maybe I should go to u of w for everything. What time frame should I be aware of. ..sooner or later?

RE: Subungual melanoma

by andimd on Thu Feb 19, 2015 07:53 PM

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I have not been diagnosed but I have an appointment with a podiatrist in 1 1/2 weeks.  My symptoms are half of big toenail (or underneath) is dark brown/black and has been getting darker for about 3 weeks.  Also, the skin by my cuticle is getting dark, pretty quickly.  Do you think it is okay to wait?!  Haven't found anyone who knows much about my symptoms.  My regular doctor seems stumped, they have been treating me for fungus for 3 to 4 months but this keeps getting worse.  Any information or opinion would be appreciated.  Thanks!

RE: Subungual melanoma

by fiatjusticia on Sat Mar 14, 2015 04:59 AM

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I would highly suggest getting this checked out. Darkening of the cuticle skin is called Hutchinson's sign, which is very suggestive of melanoma. And go to a derm, not a podiatrist. You don't want to delay this. Best wishes to you!

RE: Subungual melanoma

by Oakshield on Sat Mar 14, 2015 05:34 AM

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With such symptoms always go to a doctor and take a treatment. 

RE: Subungual melanoma

by andim on Sat Mar 14, 2015 10:31 PM

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I already have the appointment with the podiatrist for Monday so I will keep it.  Depending on what he says, I may see a dermatologist.  I am definitely thinking that someone needs to do a biopsy.

RE: Subungual melanoma

by Jayboo98 on Sun Mar 15, 2015 10:17 AM

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I agree with the others who have posted - go to the podiatrist with the next step seeing a dermatologist for sure...my husband has acral melanoma (acral b/c it is on his foot) and was diagnosed by a dermatologist and it all went from there...unfortunately, he didn't notice it for a while which delayed the diagnosis...seeing a dermatologist at a melanoma center/clinic/hospital is your best bet as opposed to a primary care Dr who may or may not have the specialty to recognize the diagnosis

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