Subungual Tumors: An Algorithmic Approach

J Hand Surg Am. 2019 Jul;44(7):588-598. doi: 10.1016/j.jhsa.2018.12.015. Epub 2019 May 6.

Abstract

The presentation of benign and malignant subungual tumors often follows a final common pathway of nonspecific nail deformity; as such, delays in diagnosis are common. Therefore, it is imperative to have a high degree of suspicion for malignant lesions and an organized approach to subungual tumors. To that end, we present a diagnostic algorithm encompassing the most common benign and malignant subungual tumors, along with a summary of the presentation, imaging, and treatment of these lesions.

Keywords: Melanoma; nail; nail deformity; subungual tumors; tumor.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Diagnosis, Differential
  • Humans
  • Nail Diseases / diagnosis*
  • Nail Diseases / therapy
  • Skin Neoplasms / diagnosis*
  • Skin Neoplasms / therapy