Locally Invasive Amelanotic Melanoma of the Nail Apparatus: Report of an Exuberant and Rapidly Evolving Case

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Abstract
A 72-year-old female patient was referred for dermatological evaluation due to a tumoral lesion located on the nail of the right first finger, which had grown over a period of 3 months and was initially diagnosed as onychomycosis and local trauma. Upon examination, an exophytic, erythematoviolaceous lesion with a friable and bleeding surface was observed, completely substituting the nail unit (FIG. 1). Ipsilateral palpable adenomegaly was also identified in the cubital fossa.
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