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

Summary We present the case of a patient with a 1.2 mm Breslow thickness subungual melanoma of the thumb who refused the standard treatment of amputation. He underwent a 1 cm wide local excision of the lesion down to bone and the defect was covered with Integra and later grafted. The evidence for in...

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Veröffentlicht in:	Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2010-01, Vol.63 (1), p.e36-e37
Hauptverfasser:	Smock, E.D, Barabas, A.G, Geh, J.L.C
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Chondroitin Sulfates Collagen Conservative Humans Integra Male Melanoma Melanoma - pathology Melanoma - surgery Plastic Surgery Reconstructive Surgical Procedures - methods Skin Neoplasms - pathology Skin Neoplasms - surgery Subungual Thumb - pathology Thumb - surgery
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creator	Smock, E.D Barabas, A.G Geh, J.L.C
description	Summary We present the case of a patient with a 1.2 mm Breslow thickness subungual melanoma of the thumb who refused the standard treatment of amputation. He underwent a 1 cm 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. He remains disease free and is left with a fully functional thumb and a good cosmetic result.
doi_str_mv	10.1016/j.bjps.2009.05.010
format	Article
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He underwent a 1 cm 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. 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He remains disease free and is left with a fully functional thumb and a good cosmetic result.</description><subject>Adult</subject><subject>Chondroitin Sulfates</subject><subject>Collagen</subject><subject>Conservative</subject><subject>Humans</subject><subject>Integra</subject><subject>Male</subject><subject>Melanoma</subject><subject>Melanoma - pathology</subject><subject>Melanoma - surgery</subject><subject>Plastic Surgery</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin Neoplasms - surgery</subject><subject>Subungual</subject><subject>Thumb - pathology</subject><subject>Thumb - surgery</subject><issn>1748-6815</issn><issn>1878-0539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV-L1TAQxYso7h_9Aj5I33xqnSRNk4IIsrjrwoKwq8-hSSd3U9vmmjSu--035V4UfPBphuGcw8xviuINgZoAad-PtR73saYAXQ28BgLPilMihayAs-557kUjq1YSflKcxTgCNIw0_GVxQrqWCCDytDC3aPwS15DM6vxSelv25XqfZl0OaNGs5YNb78vrZcVd6Evrp8k_uGWXxwOWkzf9VOJv4-Ifc0w6LbuU5zNO_eLn_lXxwvZTxNfHel58v_z87eJLdfP16vri001lGgJrZRvJjWaWgrGaYztIQLCD1VZo1vdAUTNBWoGcy5ZaRsFSQzvbQqdhyCefF-8OufvgfyaMq5pdNDjlLdCnqATLfiK4yEp6UJrgYwxo1T64uQ-PioDa2KpRbWzVxlYBV5ltNr09xic94_DXcoSZBR8OAsxH_nIYVDQOF4ODC5mkGrz7f_7Hf-xmcovLhH_gI8bRp7BkfIqoSBWou-2723OhA2CSN-wJLrShBw</recordid><startdate>20100101</startdate><enddate>20100101</enddate><creator>Smock, E.D</creator><creator>Barabas, A.G</creator><creator>Geh, J.L.C</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100101</creationdate><title>Reconstruction of a thumb defect with Integra following wide local excision of a subungual melanoma</title><author>Smock, E.D ; Barabas, A.G ; Geh, J.L.C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-f485cb3f20cfb5e6d80e0fdfbf7b3aa02eb37167e55862f320f2c29f609b0d053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Chondroitin Sulfates</topic><topic>Collagen</topic><topic>Conservative</topic><topic>Humans</topic><topic>Integra</topic><topic>Male</topic><topic>Melanoma</topic><topic>Melanoma - pathology</topic><topic>Melanoma - surgery</topic><topic>Plastic Surgery</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Skin Neoplasms - pathology</topic><topic>Skin Neoplasms - surgery</topic><topic>Subungual</topic><topic>Thumb - pathology</topic><topic>Thumb - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smock, E.D</creatorcontrib><creatorcontrib>Barabas, A.G</creatorcontrib><creatorcontrib>Geh, J.L.C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of plastic, reconstructive & aesthetic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smock, E.D</au><au>Barabas, A.G</au><au>Geh, J.L.C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reconstruction of a thumb defect with Integra following wide local excision of a subungual melanoma</atitle><jtitle>Journal of plastic, reconstructive & aesthetic surgery</jtitle><addtitle>J Plast Reconstr Aesthet Surg</addtitle><date>2010-01-01</date><risdate>2010</risdate><volume>63</volume><issue>1</issue><spage>e36</spage><epage>e37</epage><pages>e36-e37</pages><issn>1748-6815</issn><eissn>1878-0539</eissn><abstract>Summary We present the case of a patient with a 1.2 mm Breslow thickness subungual melanoma of the thumb who refused the standard treatment of amputation. 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subjects	Adult Chondroitin Sulfates Collagen Conservative Humans Integra Male Melanoma Melanoma - pathology Melanoma - surgery Plastic Surgery Reconstructive Surgical Procedures - methods Skin Neoplasms - pathology Skin Neoplasms - surgery Subungual Thumb - pathology Thumb - surgery
title	Reconstruction of a thumb defect with Integra following wide local excision of a subungual melanoma
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