Melanoma
Conditions
Brief summary
Melanomas of the nail bed are often diagnosed at the locally advanced stage. The standard treatment was amputation of the finger or toe, but it has now been established that enlarged excision of the nail plate is sufficient under certain conditions. Reconstruction of the nail system can be performed by several techniques. Here, the investigators present a series of patients reconstructed by INTEGRA (dermal matrix) and skin graft
Interventions
The investigators studied a population of 10 patients who underwent nail and nail matrix excision surgery as part of the treatment of subungual melanoma, as well as the reconstruction, the investigators opted for. The specific intervention of this study is based on late postoperative questions (after 3 months)
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who have undergone enlarged resection of the nail apparatus with immediate or delayed reconstruction in the setting of acral melanoma of the fingers or toes.
Exclusion criteria
* Patients who have amputation, opposition of the pateint to the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional and cosmetic patient satisfaction | 3 months minimum postoperative | Scores AOFAS (feet)(score ranging from 0, maximum disability, to 90, no disability), Scores QUICK DASH(score ranging from 0, no disability, to 100, maximum disability) and Mayowrist score (hands)(score ranging from 0, maximum disability, to 100, no disability) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative complications | 3 months minimum postoperative | Presence or absence of Postoperative complications (inclusion cyst, nail spicule, need for repeat surgery). |
| Recurrence of the disease | 3 months minimum postoperative | Recurrence of the disease. |
Countries
France