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Functional Surgery, When Possible, Is the Best Option for Malignant Tumors of the Nail Unit
Cirugía en tumores malignos del aparato ungueal: si es posible, mejor cirugía funcional
J.M. Ródenas
Servicio de Dermatología, Hospital General Universitario Morales Meseguer, Murcia, España
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The main aim of cutaneous oncology surgery is to remove tumors with sufficient safety margins to offer the greatest chance of cure&#46; The second aim is to preserve&#44; where possible&#44; the function of the affected organ&#44; and the final aim&#44; though often valued more highly by the patient&#44; is to achieve good cosmetic outcomes&#46; These principles are especially important when dealing with the hand&#44; which is the most distinctive human organ and one of the main tools used to interact with the environment&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In this issue of <span class="elsevierStyleItalic">Actas Dermo-Sifiliogr&#225;ficas</span>&#44; Miguel &#193;ngel Flores-Terry et al&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> from Hospital General Universitario de Ciudad Real describe their experience with the surgical treatment of malignant subungual tumors &#40;squamous cell carcinoma and melanoma&#41;&#44; where amputation of the distal phalanx is the most common surgical technique&#46; They performed function-sparing surgery consisting of excision of the nail unit with adequate margins and subsequent repair aimed at preserving the affected phalanx and its function&#46; Used in appropriate indications &#40;squamous cell carcinoma without bone involvement and melanoma with a Breslow thickness &#60;<span class="elsevierStyleHsp" style=""></span>1<span class="elsevierStyleHsp" style=""></span>mm&#41;&#44; the technique produced excellent results&#44; comparable to those described in the literature&#44; and the authors observed no changes in prognosis compared with amputation&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Studies such as this contribute to increasing awareness of surgical techniques that&#44; while neither novel nor complex&#44; help to improve patient quality of life and encourage us to continuously re-evaluate our practice&#46;</p></span>"
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                      "titulo" => "Early origin for human-like precision grasping&#58; A comparative study of pollical distal phalanges in fossil hominins"
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