Nail Surgery and Malignant Tumors of the Nail Unit

  • Deborah F. MacFarlane
  • Richard K. Scher


Since as many as 10% of patients seek dermatologic care for a nail disorder,1 it is important that dermatologists be comfortable with performing nail surgery. Unfortunately, the diagnosis and treatment of nail tumors may be delayed due to a fear of causing a permanent nail dystrophy from biopsy. It is the intent of this chapter to outline the steps to an approach to nail surgery so that the clinician is able to expose subungual conditions for anatomic delineation, biopsy, or excision with as painless a technique as possible and an acceptable cosmetic outcome. This chapter will conclude with an overview of malignant tumors of the nail unit.


Nail Plate Verrucous Carcinoma Dyskeratosis Congenita Epidermodysplasia Verruciformis Nail Fold 
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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Deborah F. MacFarlane
    • 1
  • Richard K. Scher
    • 2
  1. 1.Departments of Dermatology and Plastic SurgeryThe University of Texas MD Anderson Cancer CenterHoustonUSA
  2. 2.Department of DermatologySection for Diagnosis and Treatment of Nail Disorders, University of North CarolinaChapel HillUSA

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