Metastatic malignant subungal melanoma: Importance of FNAC

Subungual melanoma is a rare type of skin cancer. It is an uncommon form of acral lentiginous melanoma. Approximately 85% of cases are misdiagnosed initially, and it is generally associated with a poor prognosis. Herein, we describe a case of metastatic subungal melanoma to the axillary lymph node i...

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Bibliographic Details
Main Authors: Radhika Punshi Nandwani, Murali Gopala Krishnan, Sanjay Kumar Totade
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Indian Journal of Dermatopathology and Diagnostic Dermatology
Subjects:
Online Access:http://www.ijdpdd.com/article.asp?issn=2349-6029;year=2014;volume=1;issue=1;spage=35;epage=38;aulast=Nandwani
Description
Summary:Subungual melanoma is a rare type of skin cancer. It is an uncommon form of acral lentiginous melanoma. Approximately 85% of cases are misdiagnosed initially, and it is generally associated with a poor prognosis. Herein, we describe a case of metastatic subungal melanoma to the axillary lymph node in a 45-year-old male. Diagnosis of metastasis was made based on cytology, where the clinicians were guided to search for primary. This case report highlights the role of fine-needle aspiration cytology (FNAC) in the diagnosis of this entity to draw the attention of the reader to the possible underreporting of melanoma because of a variant that evades diagnosis and our reluctance to think about its existence.
ISSN:2349-6029
2349-6029