Skip to main content
Article thumbnail
Location of Repository

Clinical guidelines for the recognition of melanoma of the foot and nail unit

By I.R. Bristow, D.A.R. de Berker, K. M. Acland, R.J. Turner and J. Bowling


Malignant melanoma is a life threatening skin tumour which may arise on the foot. The prognosis for the condition is good when lesions are diagnosed and treated early. However, lesions arising on the soles and within the nail unit can be difficult to recognise leading to delays in diagnosis. These guidelines have been drafted to alert health care practitioners to the early signs of the disease so an early diagnosis can be sought<br/

Topics: R1
Year: 2010
OAI identifier:
Provided by: e-Prints Soton

Suggested articles


  1. (2001). A: Updated statistical data for malignant melanoma in Japan. doi
  2. (2008). Acland K: Acral lentiginous melanoma of the foot: a review of 27 cases. doi
  3. (2007). al: Diagnosis and management of nail pigmentations. doi
  4. (2000). Altman E: The ABC rule for clinical detection of subungual melanoma. doi
  5. (2002). Amelanotic Melanoma Masquerading as an Ingrown Toenail. doi
  6. (2009). Amelanotic subungual melanoma: a case report. J Foot Ankle Surg doi
  7. (2009). An amelanotic malignant melanoma masquerading as hypergranulation tissue. Foot Ankle Surg doi
  8. (2000). BK: The annual report to the nation on the status of cancer, 1973-1997, with a special section on colorectal cancer. Cancer doi
  9. Cancer mortality statistics.
  10. (1998). CM: Clinical Outcomes of Localized Melanoma of the Foot: A Case-Control Study. doi
  11. (2003). CV: Acral lentiginous melanoma mimicking benign disease: the Emory experience. doi
  12. (2009). de Farias DC: Dealing with melanonychia. Semin Cutan Med Surg
  13. (2010). Dermoscopic features of acral lentiginous melanoma in a large series of 110 cases in a white population. doi
  14. (2009). Dermoscopy as a technique for the early identification of foot melanoma: a review. J Foot Ankle Res doi
  15. (2008). DH: Prevalence and predictors of skin selfexamination: prospects for melanoma prevention and early detection. doi
  16. (2003). Diagnosing skin malignancy: Assessment of predictive clinical criteria and risk factors.
  17. (2001). DJ: Melanoma in AfricanAmericans: Trends in biological behavior and clinical characteristics over two decades. J Surg Oncol doi
  18. (2004). Elhakeem HA: Pattern of skin cancer in Southwestern Saudi Arabia. Saudi Med J
  19. (1998). Fierlbeck G: Extent and consequences of physician delay in the diagnosis of acral melanoma. Melanoma Res doi
  20. (2004). Global perspectives of contemporary epidemiological trends of cutaneous malignant melanoma. doi
  21. (2006). Karabay O: A case of melanonychia due to Candida albicans. Clin Exp Dermatol doi
  22. (1996). Kechijian P: Hutchinson’s sign: a reappraisal. doi
  23. (1994). Longitudinal melanonychia caused by trichophyton rubrum. Histochemical and ultrastructural study of two cases. doi
  24. (1994). MA: The effect of misdiagnosis and delay in diagnosis on clinical outcome in melanomas of the foot.
  25. (1996). Malignant melanoma in American black females: an unusual distribution of primary sites.
  26. (1994). Melanoma of the foot.
  27. (2005). Melchi CF: Meta-analysis of risk factors for cutaneous melanoma: II. Sun exposure. doi
  28. (1996). Occurrence of melanomas on the upper and lower limbs in eastern Australia. Melanoma Res doi
  29. (1995). Orfanos CE, et al: Primary cutaneous melanoma. Optimized cutoff points of tumor thickness and importance of clark’s level for prognostic classification. Cancer doi
  30. (1988). Pigmented nail streaks may indicate Laugier-Hunziker syndrome. Cutis
  31. (1992). Predicting survival and recurrence in localized melanoma: a multivariate approach. World J Surg doi
  32. (2003). RP: An evaluation of dermoscopy fluids and application techniques. doi
  33. (1998). RP: The incidence and prognosis of nail apparatus melanoma. A retrospective study of 105 patients in four English regions. doi
  34. (2003). Sage RA: Survival of patients with primary pedal melanoma. J Foot Ankle Surg doi
  35. (2009). Sloan SB: Melanoma of the feet: misdiagnosed and misunderstood. Clin Dermatol doi
  36. (1990). Subungual amelanotic melanoma: a diagnostic pitfall. Postgrad Med J doi
  37. (2007). Subungual melanoma: a particularly invasive “onychomycosis”. doi
  38. (1998). Survival of patients with mealnoma of the lower extremity decreases with distance from the trunk. Cancer Causes Control doi
  39. (2004). Tamaki K: Significance of dermoscopic patterns in detecting malignant melanoma on acral volar skin: results of a multicenter study in Japan. Arch Dermatol doi
  40. (2002). The epidemiology of skin cancer. doi
  41. (2007). Wheelhouse C: The prevention, diagnosis, referral and management of melanoma of the skin: concise guidelines. doi
  42. (2004). Yang CH: Malignant melanoma in Taiwan: a prognostic study of 181 cases. Melanoma Res

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.