Squamous Cell Carcinoma of the Nail Unit with Evidence of Bony Involvement: A Multidisciplinary Approach to Resection and Reconstruction

Abstract

Although uncommon, SCC of the nail bed must be considered in all nails with chronic disease. Preoperative evaluation should include hand radiographs in search of bony involvement. Tissue-sparing excision combined with distal amputation of the affected phalanx and reconstruction of the digit using spared tissue may maximize hand and digit function.