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Today's health topic::
Have you found a black spot under your fingernail? That could be a serious problem called Acral Lentiginous Melanoma
A patient came in my office with an "Acral lentiginous melanoma" (ALM). This is a special kind of cutaneous melanoma which pops up on the bottom of the foot, or in some case the melanoma appears on the palm, fingernail or in the case of my patient - the toenail bed.
The patient was from Egypt, and had been in America only a few years. For the record, ALM occurs most often in Asians cultures, or in the case of my patient - sub-Saharan Africans, and other African Americans. My patient, 60 years said the melanoma just appeared on his toenail.
The growth of the tumor was not discovered until the nail was shed; therefore, his prognosis was poor. This patients melanoma occured on the nail bed of the large toe. His clinical features were less striking than in other melanomas.
It's important to contact your doctor immediately when you see a strange growth on your skin. If you are experiencing any pain associated with the mole, make an appointment. Know the symptoms before you get them.
The Symptoms of (ALM)
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Melanoma under nails
Acral Lentiginous Melanoma: Diagnosis
There are two types of melanoma diagnosis. The clinical diagnosis and pathological diagnosis. A clinical diagnosis is first recognized as "abnormal" either by you or your doctor. A pathological diagnosis comes after your doctor has removed the growth and it is examined under a microscope. The pathological diagnosis is of course a better test to find out if the growth is cancerous or not, then you can decide on treatment.
Treating: Acral Lentiginous Melanoma
If you have melanoma under the fingernail, or toenail, it is actually better to just chop the digit off... I know that sounds crazy, but it's better to be missing a toe than to die from this condition. You will look a whole lot better without a toe, than laying in a pine box. For the record, my 60 year old Egyptian patient removed his big toe, and has been cancer free ever since.
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Dermatend & Your Immune System
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