指甲下肿瘤124例临床分析

Clinical analysis of 124 eases of subungual tumors

目的总结指甲下肿瘤的临床特点及诊疗方法。方法对124例指甲下肿瘤临床资料进行分析，介绍治疗方法与疗效，以及常见的并发症。结果指甲下肿瘤良、恶性均有，以良性多见，其中血管球瘤发病率最高；恶性肿瘤少见，为恶性黑色素瘤及鳞状上皮细胞癌。结论指甲下肿瘤种类多，因指甲系统特殊的解剖与生理特点，应重视肿瘤的诊断与治疗。

Objective To summarize the clinical features and methods of diagnosis and surgical treatment of subungual tumors. Methods All 124 cases of subungual tumors were reviewed. The treatment options, clinical outcomes and common complications were introduced. Results Benign tumors and malignant tumors can occur in the subungual. There were more benign tumors than malignant tumors. Glomus tumors had the highest incidence among the benign tumors. Malignant tumors were rare and mostly malignant melanomas and squamous epithelial cell carcinomas. Conclusion There are various kinds of tumors in the subungual. Owing to the special anatomy and physiology of the nail system, the diagnosis and treatment of these tumors should be emphasized.