Digit preserving surgery of subungual melanoma, a case series using vacuum assisted closure and full thickness skin grafting

Abstract

Acrolentiginous melanoma (ALM) is the second most common nail organ tumour and frequently, affects the thumb or the great toe.^1,2 Digit amputation is still the gold standard for many surgeons;³ it does, however, not protect against local recurrence. An alternative represents complete tumour resection with distal phalanx preservation, which has proven valuable, especially for well demarcated thinner tumours.^4,5

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