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Master's Dissertation
DOI
10.11606/D.5.2017.tde-05042017-162905
Document
Author
Full name
Suelen Montagner
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2016
Supervisor
Committee
Belda Junior, Walter (President)
Criado, Paulo Ricardo
Chiacchio, Nilton Di
Moraes, Aparecida Machado de
Title in Portuguese
Estudo comparativo da sobrevida de pacientes com melanoma ungueal tratados com cirurgia funcional ou amputação distal
Keywords in Portuguese
Análise de sobrevida
Cirurgia
Doenças da unha
Melanoma
Terapia
Abstract in Portuguese
O melanoma ungueal compreende cerca de 0,7 a 3,5% de todos os tipos de melanoma. Devido à dificuldade no diagnóstico precoce, seu prognóstico é reservado quando comparado às demais formas de melanoma. A amputação falangeana se propõe a extirpar o tumor respeitando os princípios da cirurgia oncológica, apesar de acarretar déficit funcional e estigmas sociais, além de não prolongar a sobrevida, particularmente nos casos iniciais. Abordagens mais conservadoras, como a cirurgia funcional, são utilizadas em casos in situ ou microinvasivos, que consistem na remoção de todo o complexo ungueal e preservação da falange distal, com bom resultado cosmético e funcional. Este estudo retrospectivo propõe comparar a sobrevida de pacientes tratados em cada uma das técnicas mencionadas, a partir de dados coletados de prontuários. Não houve alteração da sobrevida dos pacientes com melanoma ungueal tratados com amputação ou cirurgia funcional
Title in English
Comparative study of nail melanoma patients' survival following treatment with functional surgery or distal amputation
Keywords in English
Melanoma
Nail diseases
Surgery
Survival analysis
Therapy
Abstract in English
Nail melanoma represents about 0.7-3.5% of all types of melanoma. Because its early diagnosis is difficult, the prognosis is conservative when compared with other forms of melanoma. The phalangeal amputation is intended to excise the tumor according to the cancer surgery principles, despite resulting in functional deficit and social stigmata and failing to extend survival, especially in early cases. More conservative approaches, such as functional surgery, have been used in 'in situ' or microinvasive cases, which consist of removing the entire nail complex and preserving the distal phalange, provide good aesthetic and functional results. This retrospective study proposes to compare the survival of patients treated with each of these techniques by reviewing the data collected from their medical records. No changes were observed in the survival of nail melanoma patients treated with amputation or functional surgery
 
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SuelenMontagner.pdf (1.19 Mbytes)
Publishing Date
2017-04-06
 
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