Carcinoma In Disguise-Atypical Presentation of Squamous Cell Carcinoma
Squamous cell carcinoma (SCC) of the nail unit is a rare malignant subungual tumor. There is often a delay in diagnosis and treatment as it can be often misdiagnosed as chronic paronychia, onychomycosis, pyogenic granuloma, subungual wart, or glomus tumor. Here, we present a case of an elderly man...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2025-01-01
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| Series: | Gazi Medical Journal |
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| Online Access: | https://gazimedj.com/articles/carcinoma-in-disguise-atypical-presentation-of-squamous-cell-carcinoma/doi/gmj.2024.3973 |
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| author | Kawari Sowbhagyalaxmi Ramesh Abhishek Ganguly Abhijith Acharya Manohar V Pai |
| author_facet | Kawari Sowbhagyalaxmi Ramesh Abhishek Ganguly Abhijith Acharya Manohar V Pai |
| author_sort | Kawari Sowbhagyalaxmi Ramesh |
| collection | DOAJ |
| description | Squamous cell carcinoma (SCC) of the nail unit is a rare malignant subungual tumor. There is often a delay in diagnosis and treatment as it can be often misdiagnosed as chronic paronychia, onychomycosis, pyogenic granuloma, subungual wart, or glomus tumor.
Here, we present a case of an elderly man who was brought to the out-patient department with a deformed appearance of the right fourth finger of his hand after 1 year. With a preceding history of trauma and two sessions of excision of the finger nail showing onychomycosis, the patient was admitted for further evaluation. Imaging in form of X-ray of the hand and Magnetic resonance imaging of the finger showed bony destruction of middle and distal phalanges, thereby favoring fungal osteomyelitis. However, incisional biopsy from the nail unit revealed suspicious of SCC. A multimodal approach to the tumor is required; however, surgical excision is the definitive treatment. |
| format | Article |
| id | doaj-art-83923da870e54f05957c42b77277a902 |
| institution | Kabale University |
| issn | 2147-2092 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Gazi Medical Journal |
| spelling | doaj-art-83923da870e54f05957c42b77277a9022025-01-13T11:55:50ZengGalenos Publishing HouseGazi Medical Journal2147-20922025-01-0136110811110.12996/gmj.2024.3973Carcinoma In Disguise-Atypical Presentation of Squamous Cell CarcinomaKawari Sowbhagyalaxmi Ramesh0https://orcid.org/0000-0002-3680-4815Abhishek Ganguly1https://orcid.org/0000-0001-7409-1839Abhijith Acharya2https://orcid.org/0000-0003-3847-6867Manohar V Pai3https://orcid.org/0000-0002-3680-4815Department of General Surgery Kasturba Medical College, Mangalore, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, IndiaDepartment of General Surgery Kasturba Medical College, Mangalore, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, IndiaDepartment of General Surgery Kasturba Medical College, Mangalore, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, IndiaDepartment of General Surgery Kasturba Medical College, Mangalore, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, IndiaSquamous cell carcinoma (SCC) of the nail unit is a rare malignant subungual tumor. There is often a delay in diagnosis and treatment as it can be often misdiagnosed as chronic paronychia, onychomycosis, pyogenic granuloma, subungual wart, or glomus tumor. Here, we present a case of an elderly man who was brought to the out-patient department with a deformed appearance of the right fourth finger of his hand after 1 year. With a preceding history of trauma and two sessions of excision of the finger nail showing onychomycosis, the patient was admitted for further evaluation. Imaging in form of X-ray of the hand and Magnetic resonance imaging of the finger showed bony destruction of middle and distal phalanges, thereby favoring fungal osteomyelitis. However, incisional biopsy from the nail unit revealed suspicious of SCC. A multimodal approach to the tumor is required; however, surgical excision is the definitive treatment.https://gazimedj.com/articles/carcinoma-in-disguise-atypical-presentation-of-squamous-cell-carcinoma/doi/gmj.2024.3973squamous cell carcinomanail bedonychomycosis |
| spellingShingle | Kawari Sowbhagyalaxmi Ramesh Abhishek Ganguly Abhijith Acharya Manohar V Pai Carcinoma In Disguise-Atypical Presentation of Squamous Cell Carcinoma Gazi Medical Journal squamous cell carcinoma nail bed onychomycosis |
| title | Carcinoma In Disguise-Atypical Presentation of Squamous Cell Carcinoma |
| title_full | Carcinoma In Disguise-Atypical Presentation of Squamous Cell Carcinoma |
| title_fullStr | Carcinoma In Disguise-Atypical Presentation of Squamous Cell Carcinoma |
| title_full_unstemmed | Carcinoma In Disguise-Atypical Presentation of Squamous Cell Carcinoma |
| title_short | Carcinoma In Disguise-Atypical Presentation of Squamous Cell Carcinoma |
| title_sort | carcinoma in disguise atypical presentation of squamous cell carcinoma |
| topic | squamous cell carcinoma nail bed onychomycosis |
| url | https://gazimedj.com/articles/carcinoma-in-disguise-atypical-presentation-of-squamous-cell-carcinoma/doi/gmj.2024.3973 |
| work_keys_str_mv | AT kawarisowbhagyalaxmiramesh carcinomaindisguiseatypicalpresentationofsquamouscellcarcinoma AT abhishekganguly carcinomaindisguiseatypicalpresentationofsquamouscellcarcinoma AT abhijithacharya carcinomaindisguiseatypicalpresentationofsquamouscellcarcinoma AT manoharvpai carcinomaindisguiseatypicalpresentationofsquamouscellcarcinoma |