| CASE REPORT |
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| Year : 2020 | Volume
: 15
| Issue : 3 | Page : 506-509 |
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A rare presentation of a subungual melanoma with distant metastasis
Anurag Bhattacharjee1, Bhavaniprasad Kalagani1, Ravi Ponnugoti1, Harshal Ramteke1, Samarth Shukla2, Niveditha Suresh1
1 Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
2 Department of Pathology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
Correspondence Address:
Dr. Anurag Bhattacharjee
T7, Raghobaji Hostel, Sawangi, Meghe, Wardha - 442 001, Maharashtra
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jdmimsu.jdmimsu_360_20
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Subungual melanoma is a rare melanoma globally and melanoma by itself is reported rarely from the Indian population. 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 the lesion with no evidence of metastasis. Hereby presenting a rare case of a 40-year-old male who presented with blackish discoloration and ulcer of the left index fingernail of 5 months' duration post history of trauma to the index finger. Examination revealed black dystrophic left index fingernail. A detailed examination showed a mass under the dystrophic nail. Histopathology revealed characteristic features of melanoma. A detailed evaluation revealed features of regional metastasis. The entire finger was then amputated surgically by disarticulation at the metacarpophalangeal joint and regional nodes removed by ipsilateral axillary dissection.
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