![]() If the nail cannot be reattached, your provider may replace it with a special type of material.The nail will be reattached with a special glue or stitches.Cuts in the nail bed will be closed with stitches.Part or all of the nail may be removed.If the bone is broken or the bruise is very large, the nail may need to be removed and the nail bed repaired.This will allow fluid to drain out and relieve the pressure and pain.For a larger bruise, your provider will create a small hole in the nail.Usually, the nail and finger or toe will be numbed with medicine before it is treated. They will stop the bleeding and clean the wound. The most severe form of subungual melanoma is stage 4, where the cancer cells have spread to other organs.For more serious nail injuries, you should go to an urgent care center or the emergency room. The subungual melanoma may be melanoma “in situ,” meaning it is only in the top layer of skin. If a doctor confirms the diagnosis is melanoma, they may order more tests to determine if the cancer has spread.Ī doctor will then stage the melanoma based on how many cancerous cells are present and how the melanoma has spread. If a doctor suspects the condition could be subungual melanoma, they will biopsy the nail matrix and nail bed.Ī pathologist specializing in identifying cancerous cells will examine the nail cells to determine if they are cancerous and consistent with the appearance of melanoma. pyogenic granuloma, which are overgrowths of nail tissue.paronychia, an infection of the nail bed.onychomycosis, which is fungal nail infection.Some conditions that may look similar to subungual melanoma include: ![]() They may ask when the nail streaking began, how the nail has changed over time, and whether a person has any relevant medical history. It accounts for 75% of melanomas in African populations, 25% in Chinese populations, and 10% in Japanese populations.Ī doctor will conduct a physical assessment of the fingernail and ask questions about symptoms. It is the most common variant of malignant melanoma among African Americans, Asians, and Hispanics. It is also important to note that subungual melanomas are the most common type of melanoma among African Americans. having a condition that causes a weakened immune system, such as HIV. ![]()
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