BACKGROUND: Although squamous cell carcinoma (SCC) is commonly found on sun-exposed skin, this malignancy in nail beds is rare. There is a very low rate of metastases, especially for well-differentiated lesions without bony involvement. OBJECTIVE: To present a case of late inguinal metastasis after radical toe amputation 3 years previously for subungual SCC. MATERIALS AND METHODS: Case report. RESULTS: The patient received modified inguinal lymphadenectomy and adjuvant radiation therapy. No recurrence or metastases were observed for 12 months. CONCLUSION: For patients with subungual SCC postsurgery, it is important to regularly evaluate for a minimum of 3 years, despite the very low rate of metastases.
BACKGROUND: Although squamous cell carcinoma (SCC) is commonly found on sun-exposed skin, this malignancy in nail beds is rare. There is a very low rate of metastases, especially for well-differentiated lesions without bony involvement. OBJECTIVE: To present a case of late inguinal metastasis after radical toe amputation 3 years previously for subungual SCC. MATERIALS AND METHODS: Case report. RESULTS: The patient received modified inguinal lymphadenectomy and adjuvant radiation therapy. No recurrence or metastases were observed for 12 months. CONCLUSION: For patients with subungual SCC postsurgery, it is important to regularly evaluate for a minimum of 3 years, despite the very low rate of metastases.