gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Artikel

Artikel empfehlen

Primary melanoma of the hand – experiences and review of the literature

Meeting Abstract

Suche in Medline nach

  • presenting/speaker Evi M. Morandi - Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria
  • Elisabeth Pechriggl - Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria
  • Christoph Tasch - Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria
  • Gerhard Pierer - Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria
  • Eva Maria Baur - Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria
  • Robert Zimmermann - Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-382

doi: 10.3205/19ifssh0310, urn:nbn:de:0183-19ifssh03106

Veröffentlicht: 6. Februar 2020

© 2020 Morandi et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: The diagnosis of melanoma oft he hand is associated with a poor prognosis. While the surgical management of melanoma is following distinct guidelines, there are no specific considerations regarding functional areas of the hand or subungual melanoma. It was shown by literature, that a wide local resection does not provide any advantage over R0 resection.

Methods: Between 2010 and 2017, 13 patients presented with melanoma of the hand in our clinic. Patient records were reviewed retrospectively and literature was carefully reviewed.

Results and Conclusions: 12 cases were primary melanomas, 7 were subungual tumors. Mean age at presentation was 56 years. The most frequent localization was the thumb. Mean Breslow index was 3,2mm (range 0,2-10). Melanoma in situ was treated with simple excision and full thickness skin grafting. In 5 cases amputation was mandatory.

In this series, amputation was considered in most cases of subungual melanoma. With simple excision, function sparing treatment could be ensured in cases of melanoma in situ with good cosmetic results and sensibility. However, a distinct guideline for treatment of acral melanoma is necessary and desirable.