Reconstruction of a thumb defect with Integra following wide local excision of a subungual melanoma.

@article{Smock2010ReconstructionOA,
  title={Reconstruction of a thumb defect with Integra following wide local excision of a subungual melanoma.},
  author={Elliott D Smock and Anthony George Barabas and Jenny L. C. Geh},
  journal={Journal of plastic, reconstructive & aesthetic surgery : JPRAS},
  year={2010},
  volume={63 1},
  pages={e36-7}
}
We present the case of a patient with a 1.2mm Breslow thickness subungual melanoma of the thumb who refused the standard treatment of amputation. He underwent a 1cm wide local excision of the lesion down to bone and the defect was covered with Integra and later grafted. The evidence for increasingly conservative treatment of subungual melanoma is growing… CONTINUE READING