(Disclaimer: This article is for scientific purposes only, and the information in the following content has been processed to protect patient privacy)
Abstract: Patients with melanocytoma often think it is just a simple mole at the beginning, but it should not be taken lightly. If this mole is rough and has scaly or flaky flaking, or if the skin surface appears to feel abnormal, with itching, pressure, or burning sensation, it is likely to be a melanocytoma. In this case, the patient came to the hospital with black spots on finger nails, occasional burning sensation, and flaking, and was clinically diagnosed with melanocytoma, which was controlled after dilation surgery.
Basic information】Male, 23 years old
Disease Type】Melanocytoma
Hospital】Shenyang Seventh People’s Hospital
Date of consultation】September 2020
Treatment plan] Excisional surgery + expansion surgery
Treatment Period】15 minutes for resection surgery, 7 days for hospitalization, review after 6 months
Effectiveness】Melanocytoma lesion removed, no abnormalities after six months
I. Initial consultation
In September 2020, the patient came to the hospital. The patient reported that he had black spots on his right nail since he was young, but he did not take it seriously until he saw a bump on the surface last year, and only came to the hospital for examination at the strong request of his family. The patient said that he did not feel much at present, but only occasionally had a little burning sensation and a certain amount of flaking. Based on the patient’s complaints and clinical symptoms, the possibility of melanocytoma was considered to be high, and resection surgery was recommended, to which the patient agreed.
II. Treatment process
After the patient agreed, the surgery was scheduled and the patient underwent surgical resection and sent for pathological examination. The patient and his family were informed that he needed to undergo surgery and be hospitalized. In addition, the patient was advised to undergo a PET-CT of the whole body to see if the melanocytoma had spread to other parts of the body. The patient actively cooperated with the hospitalization and underwent surgery, during which the entire lesion was excised and pathological tests were performed on the excised tissue, which showed that the melanocytoma had not spread to other areas.
III. Treatment results
The patient’s surgery went smoothly, and the patient had a good attitude and actively cooperated with the treatment. Six months later, when the patient came to the hospital, he reported that he was in good condition and did not have similar symptoms again, and the report also showed no recurrence of the disease.
IV. Notes
We are glad that the patient underwent aggressive surgical treatment to clarify the pathological nature of the melanocytoma and had it removed in time, and recovered well after surgery. It is recommended that if the patient has other uncomfortable symptoms after discharge from the hospital, or if the phenomenon of black spots on the nails appears again, he must seek medical attention in a timely manner, and should also be reviewed regularly to avoid recurrence of the disease. In addition, it is important to pay attention to local skin hygiene in daily life, try not to eat spicy and stimulating food, maintain regular work and rest, and exercise appropriately to help enhance physical fitness. And we should pay attention to the postoperative wound hygiene, and also avoid getting wet to avoid wound inflammation.
V. Personal insight
When melanocytoma develops to the later stage, the tumor cells may spread, mostly because the patients do not have a clear understanding of the disease and do not get timely treatment. Therefore, if unexplained black spots appear on the fingers and feet, it is necessary to seek medical treatment in time to avoid delaying the disease. In the treatment process, besides cooperating with the doctor’s treatment plan, the mentality of patients and their families is also important. It is suggested that other patients should keep a positive mentality like this patient, which is of great help to the treatment.