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M Lahoz - One of the best experts on this subject based on the ideXlab platform.
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subungual squamous cell carcinoma and exostosis in Third Toe case report and literature review
Journal of The European Academy of Dermatology and Venereology, 2014Co-Authors: J Valero, J Gallart, David Gonzalez, Javier Deus, M LahozAbstract:Background Squamous cell carcinoma (SCC) in the ungual apparatus is a rare neoplasia. Although it is the most prevalent malignant tumour in this region, its diagnosis is often delayed because it is likened to benign or infectious processes. Objectives Present a case of SCC with subungual location in a Toe, and carry out a review of the literature in relation to the most important aspects of subungual SCC in Toes. Methods We describe the case of a white woman aged 72, with SCC located in the pulp and in the distal area of the nail bed of the Third Toe, associated with subungual exostosis. The literature on SCC in the subungual area of Toes, in all its forms under clinical or histopathological presentation, is reviewed by means of a search involving Medline, PubMed, and Google Academic, from January 1994 to December 2011. Results Only 36 cases of subungual SCC in Toes were reported in the 18 years that were reviewed. The average age of cases reviewed was 58.92, and the male-to-female ratio was 2 : 1. The most affected Toe is the hallux, in 69.4% of cases. In 50% of cases, aetiology is unknown or indeterminate; in 22.3% of cases, aetiology is metastatic; and in 19.5% of cases, it is associated with human papillomavirus (HPV). In 58.2% of cases, partial or total resection of the distal phalanx was carried out, of the entire Toe, or of the osseous ray of the foot. Conclusions Chronic tissue irritation caused by microtrauma associated with subungual exostosis is the most probable aetiology of the case presented.
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Subungual squamous cell carcinoma and exostosis in Third Toe – case report and literature review
Journal of the European Academy of Dermatology and Venereology : JEADV, 2013Co-Authors: J Valero, J Gallart, David Gonzalez, Javier Deus, M LahozAbstract:Background Squamous cell carcinoma (SCC) in the ungual apparatus is a rare neoplasia. Although it is the most prevalent malignant tumour in this region, its diagnosis is often delayed because it is likened to benign or infectious processes. Objectives Present a case of SCC with subungual location in a Toe, and carry out a review of the literature in relation to the most important aspects of subungual SCC in Toes. Methods We describe the case of a white woman aged 72, with SCC located in the pulp and in the distal area of the nail bed of the Third Toe, associated with subungual exostosis. The literature on SCC in the subungual area of Toes, in all its forms under clinical or histopathological presentation, is reviewed by means of a search involving Medline, PubMed, and Google Academic, from January 1994 to December 2011. Results Only 36 cases of subungual SCC in Toes were reported in the 18 years that were reviewed. The average age of cases reviewed was 58.92, and the male-to-female ratio was 2 : 1. The most affected Toe is the hallux, in 69.4% of cases. In 50% of cases, aetiology is unknown or indeterminate; in 22.3% of cases, aetiology is metastatic; and in 19.5% of cases, it is associated with human papillomavirus (HPV). In 58.2% of cases, partial or total resection of the distal phalanx was carried out, of the entire Toe, or of the osseous ray of the foot. Conclusions Chronic tissue irritation caused by microtrauma associated with subungual exostosis is the most probable aetiology of the case presented.
M P Seraly - One of the best experts on this subject based on the ideXlab platform.
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Subungual exostosis of the Third Toe.
Journal of the American Academy of Dermatology, 2001Co-Authors: W Ilyas, L Geskin, A K Joseph, M P SeralyAbstract:Subungual exostosis is a variant of osteochondroma that appears as a pinkish nodule under the free end of the nail plate. It becomes symptomatic when large enough to disrupt the overlying nail on the digit or through mechanical irritation of the exostosis from physical activity. Appropriate workup of such a lesion is important, because many cases of subungual exostosis are initially misdiagnosed by a variety of specialists, including dermatologists. With the use of history and roentgenography, subungual exostosis can be effectively diagnosed or excluded. Appropriate treatment of subungual exostosis can be selected- surgical excision of the lesion with significant cure rates achieved. Although most cases of subungual exostosis are localized to the great Toe, we describe a 32-year-old woman who developed a subungual exostosis on her right Third Toe. Appropriate diagnostic workup and surgical treatment of the right Third-Toe exostosis has resulted in complete relief of symptoms with no signs of recurrence 7 months after surgery.
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Subungual exostosis of the Third Toe
Journal of the American Academy of Dermatology, 2001Co-Authors: W Ilyas, L Geskin, A K Joseph, M P SeralyAbstract:Abstract Subungual exostosis is a variant of osteochondroma that appears as a pinkish nodule under the free end of the nail plate. It becomes symptomatic when large enough to disrupt the overlying nail on the digit or through mechanical irritation of the exostosis from physical activity. Appropriate workup of such a lesion is important, because many cases of subungual exostosis are initially misdiagnosed by a variety of specialists, including dermatologists. With the use of history and roentgenography, subungual exostosis can be effectively diagnosed or excluded. Appropriate treatment of subungual exostosis can be selected— surgical excision of the lesion with significant cure rates achieved. Although most cases of subungual exostosis are localized to the great Toe, we describe a 32-year-old woman who developed a subungual exostosis on her right Third Toe. Appropriate diagnostic workup and surgical treatment of the right Third-Toe exostosis has resulted in complete relief of symptoms with no signs of recurrence 7 months after surgery. (J Am Acad Dermatol 2001;45:S200-1.)
J Valero - One of the best experts on this subject based on the ideXlab platform.
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subungual squamous cell carcinoma and exostosis in Third Toe case report and literature review
Journal of The European Academy of Dermatology and Venereology, 2014Co-Authors: J Valero, J Gallart, David Gonzalez, Javier Deus, M LahozAbstract:Background Squamous cell carcinoma (SCC) in the ungual apparatus is a rare neoplasia. Although it is the most prevalent malignant tumour in this region, its diagnosis is often delayed because it is likened to benign or infectious processes. Objectives Present a case of SCC with subungual location in a Toe, and carry out a review of the literature in relation to the most important aspects of subungual SCC in Toes. Methods We describe the case of a white woman aged 72, with SCC located in the pulp and in the distal area of the nail bed of the Third Toe, associated with subungual exostosis. The literature on SCC in the subungual area of Toes, in all its forms under clinical or histopathological presentation, is reviewed by means of a search involving Medline, PubMed, and Google Academic, from January 1994 to December 2011. Results Only 36 cases of subungual SCC in Toes were reported in the 18 years that were reviewed. The average age of cases reviewed was 58.92, and the male-to-female ratio was 2 : 1. The most affected Toe is the hallux, in 69.4% of cases. In 50% of cases, aetiology is unknown or indeterminate; in 22.3% of cases, aetiology is metastatic; and in 19.5% of cases, it is associated with human papillomavirus (HPV). In 58.2% of cases, partial or total resection of the distal phalanx was carried out, of the entire Toe, or of the osseous ray of the foot. Conclusions Chronic tissue irritation caused by microtrauma associated with subungual exostosis is the most probable aetiology of the case presented.
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Subungual squamous cell carcinoma and exostosis in Third Toe – case report and literature review
Journal of the European Academy of Dermatology and Venereology : JEADV, 2013Co-Authors: J Valero, J Gallart, David Gonzalez, Javier Deus, M LahozAbstract:Background Squamous cell carcinoma (SCC) in the ungual apparatus is a rare neoplasia. Although it is the most prevalent malignant tumour in this region, its diagnosis is often delayed because it is likened to benign or infectious processes. Objectives Present a case of SCC with subungual location in a Toe, and carry out a review of the literature in relation to the most important aspects of subungual SCC in Toes. Methods We describe the case of a white woman aged 72, with SCC located in the pulp and in the distal area of the nail bed of the Third Toe, associated with subungual exostosis. The literature on SCC in the subungual area of Toes, in all its forms under clinical or histopathological presentation, is reviewed by means of a search involving Medline, PubMed, and Google Academic, from January 1994 to December 2011. Results Only 36 cases of subungual SCC in Toes were reported in the 18 years that were reviewed. The average age of cases reviewed was 58.92, and the male-to-female ratio was 2 : 1. The most affected Toe is the hallux, in 69.4% of cases. In 50% of cases, aetiology is unknown or indeterminate; in 22.3% of cases, aetiology is metastatic; and in 19.5% of cases, it is associated with human papillomavirus (HPV). In 58.2% of cases, partial or total resection of the distal phalanx was carried out, of the entire Toe, or of the osseous ray of the foot. Conclusions Chronic tissue irritation caused by microtrauma associated with subungual exostosis is the most probable aetiology of the case presented.
Fu-chan Wei - One of the best experts on this subject based on the ideXlab platform.
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Isolated Third-Toe transfer: indications, technique, and reliability.
Plastic and reconstructive surgery, 2005Co-Authors: Fu-chan Wei, O. Koray Coskunfirat, Chih-hung Lin, Yu-te LinAbstract:Background: Isolated Third-Toe transfer is a versatile and safe technique when indicated. Methods: Between January of 1984 and January of 2003, 37 isolated Third-Toe transfers were performed in 31 patients. Results: Only one partial loss was noted among 37 transfers. There were 24 male and seven female patients, with an average age of 27.4 years (range, 7 to 43 years). Twenty-five patients received additional Toe transfers. Secondary surgery was performed in 17 Toes of 15 patients to improve the functional and cosmetic results. Patients were followed for 2 to 180 months (average, 36 months) and no significant donor-site morbidity was seen. Conclusions: Basically, the indications for isolated Third-Toe transfer are evaluated in two groups. Third-Toe transfer is absolutely indicated when it is necessary for restoring basic hand functions in multiple-finger amputations. It is indicated because both second Toes are transferred or the remaining second Toe is adjacent to the previously transferred great Toe. The other absolute indication is the unavailability of second Toes because of trauma or deformity. Third-Toe transfer is indicated relatively if it is used for additional reconstruction when basic hand functions are regained or already exist. Another relative indication is its better size match for proposed reconstruction. Second and Third dorsal and plantar metatarsal arteries can be used as the pedicle artery for Third Toe-transfer; however, if second-Toe transfer has already been performed or is planned, the Third plantar or dorsal metatarsal artery should be used. Isolated Third-Toe transfer is a useful and reliable technique, especially in multiple-finger amputation reconstruction.
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Single versus Double Arterial Anastomoses in Combined Second- and Third-Toe Transplantation
Plastic and reconstructive surgery, 1998Co-Authors: Ming-huei Cheng, Fu-chan Wei, Chih-hung Lin, Eric Santamaria, Shao-lung Cheng, Samuel H. T. ChenAbstract:Combined second and Third Toe transplantation is one good option for reconstruction of multiple digit amputation. However, the use of one or two arteries for pedicle anastomoses, which may influence the vascular complication and success rate, has never been addressed in the literature. This study in
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COMBINED SECOND AND Third Toe TRANSFER: CURRENT PRACTICE
Hand Surgery, 1996Co-Authors: Tarek Abdalla El-gammal, Fu-chan WeiAbstract:A ten-year experience of combined second and Third Toe transfer is described. The length, position, and the web space are important considerations during planning. To preserve bone and skin for the donor foot, these tissues should be reconstructed with groin flap and bone block beforehand. During operation, special attention should be paid to the exact design of incision, retrograde dissection of the metatarsal artery, tight extensor repair and longitudinal K-wire, to prevent clawing and wound closure before vascular anastomosis. Passive mobilization and sensory re-education should begin early.
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Single Third-Toe transfer in hand reconstruction
The Journal of hand surgery, 1995Co-Authors: Fu-chan Wei, Kenneth K. YimAbstract:Eighteen Third-Toe transfers to the hand were performed from 1984 to 1993 in 15 patients. These patients had multiple amputations, and follow-up ranged from 5 to 78 months with an average of 27 months. Single Third-Toe-to-hand transfer was elected when (1) the second Toe was not available or not suitable for transfer, (2) the second Toe was located in the same foot where the great Toe had been transferred to the thumb and the second Toe was, therefore, spared for gait, or (3) the Third Toe was a better size match.
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Single Third-Toe transfer in hand reconstruction. Commentary
Journal of Hand Surgery (European Volume), 1995Co-Authors: Fu-chan Wei, Kenneth K. Yim, N. F. JonesAbstract:Eighteen Third-Toe transfers to the hand were performed from 1984 to 1993 in 15 patients. These patients had multiple amputations, and follow-up ranged from 5 to 78 months with an average of 27 months. Single Third-Toe-to-hand transfer was elected when (1) the second Toe was not available or not suitable for transfer, (2) the second Toe was located in the same foot where the great Toe had been transferred to the thumb and the second Toe was, therefore, spared for gait, or (3) the Third Toe was a better size match
W Ilyas - One of the best experts on this subject based on the ideXlab platform.
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Subungual exostosis of the Third Toe.
Journal of the American Academy of Dermatology, 2001Co-Authors: W Ilyas, L Geskin, A K Joseph, M P SeralyAbstract:Subungual exostosis is a variant of osteochondroma that appears as a pinkish nodule under the free end of the nail plate. It becomes symptomatic when large enough to disrupt the overlying nail on the digit or through mechanical irritation of the exostosis from physical activity. Appropriate workup of such a lesion is important, because many cases of subungual exostosis are initially misdiagnosed by a variety of specialists, including dermatologists. With the use of history and roentgenography, subungual exostosis can be effectively diagnosed or excluded. Appropriate treatment of subungual exostosis can be selected- surgical excision of the lesion with significant cure rates achieved. Although most cases of subungual exostosis are localized to the great Toe, we describe a 32-year-old woman who developed a subungual exostosis on her right Third Toe. Appropriate diagnostic workup and surgical treatment of the right Third-Toe exostosis has resulted in complete relief of symptoms with no signs of recurrence 7 months after surgery.
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Subungual exostosis of the Third Toe
Journal of the American Academy of Dermatology, 2001Co-Authors: W Ilyas, L Geskin, A K Joseph, M P SeralyAbstract:Abstract Subungual exostosis is a variant of osteochondroma that appears as a pinkish nodule under the free end of the nail plate. It becomes symptomatic when large enough to disrupt the overlying nail on the digit or through mechanical irritation of the exostosis from physical activity. Appropriate workup of such a lesion is important, because many cases of subungual exostosis are initially misdiagnosed by a variety of specialists, including dermatologists. With the use of history and roentgenography, subungual exostosis can be effectively diagnosed or excluded. Appropriate treatment of subungual exostosis can be selected— surgical excision of the lesion with significant cure rates achieved. Although most cases of subungual exostosis are localized to the great Toe, we describe a 32-year-old woman who developed a subungual exostosis on her right Third Toe. Appropriate diagnostic workup and surgical treatment of the right Third-Toe exostosis has resulted in complete relief of symptoms with no signs of recurrence 7 months after surgery. (J Am Acad Dermatol 2001;45:S200-1.)
