Functional surgery may reduce recurrence risk in nail unit melanoma

Source: Healio, February 2023

Functional surgery may be an attractive option in patients with nail unit melanoma who have a Breslow thickness less than 0.8 mm, according to a study.

“Functional surgery, rather than amputation, is a treatment option for minimally invasive nail unit melanoma, but its indication requires clarification,” Byung Ho Oh, MD, PhD, of the department of dermatology and cutaneous biology research institute at Yonsei University College of Medicine, Seoul, South Korea, and colleagues wrote.

In the retrospective review of 140 patients with nail unit melanoma, Oh and colleagues assessed optimal cutoff points of Breslow thickness for stratifying recurrence risk. The analysis included 33 patients who underwent amputation and 107 who underwent functional surgery at a tertiary referral center between 2008 and 2022.

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