Dark spot under my toe nail

It's good that your doctor is sending you to a specialist to rule out any problems.

Melanomas under your nails are bar-shaped and not circular. They also don't grow out with the nail. One of the things the specialist may do is mark the top and bottom of the spot by scraping your nail. They do this to get a measurement and to see if if grows out with the marks they made on your nail. Then you go home and wait about 6 weeks because that's the amount of time it will take for them to see if the spot stays within the scratches as they grow out with the nail. If the spot grows out, it's not a melanoma. If the spot stays put, then more invasive measures will be taken.

It's good that your doctor is sending you to a specialist to rule out any problems.

Melanomas under your nails are bar-shaped and not circular. They also don't grow out with the nail. One of the things the specialist may do is mark the top and bottom of the spot by scraping your nail. They do this to get a measurement and to see if if grows out with the marks they made on your nail. Then you go home and wait about 6 weeks because that's the amount of time it will take for them to see if the spot stays within the scratches as they grow out with the nail. If the spot grows out, it's not a melanoma. If the spot stays put, then more invasive measures will be taken.

It's good that your doctor is sending you to a specialist to rule out any problems.

Melanomas under your nails are bar-shaped and not circular. They also don't grow out with the nail. One of the things the specialist may do is mark the top and bottom of the spot by scraping your nail. They do this to get a measurement and to see if if grows out with the marks they made on your nail. Then you go home and wait about 6 weeks because that's the amount of time it will take for them to see if the spot stays within the scratches as they grow out with the nail. If the spot grows out, it's not a melanoma. If the spot stays put, then more invasive measures will be taken.

Odds are that it is nothing to worry about (Yea, easier said than to not worry any!) 

       As to spreading by a biopsy, they could do a needle biopsy which would not spread it.  If they do a surgical biopsy (much more definitive) they may remove either a portion of or the full toenail.  They should remove the entire spot.  If it were to be found to be melanoma they would go in for wider margins to reduce the chances of there being missed cells.  The sentiinal node should be located prior to or concurrently with a wider excession.

    Melanoma under the nails is normally acral lentigimous melanoma.  If found late (usually found late) then it can be very serious.  Learn what it is as early as possible and you have the best chance of overcoming a bad diagnosis.

   If it were to be diagnosed as a melanoma, then the tumor tissue should be tested to determine which type of DNA mutation it would contain, C-kit, BRAF, etc.  The type mutation determines future treatment if later there is further spread. 

   Please let us know what you learn.

Odds are that it is nothing to worry about (Yea, easier said than to not worry any!) 

       As to spreading by a biopsy, they could do a needle biopsy which would not spread it.  If they do a surgical biopsy (much more definitive) they may remove either a portion of or the full toenail.  They should remove the entire spot.  If it were to be found to be melanoma they would go in for wider margins to reduce the chances of there being missed cells.  The sentiinal node should be located prior to or concurrently with a wider excession.

    Melanoma under the nails is normally acral lentigimous melanoma.  If found late (usually found late) then it can be very serious.  Learn what it is as early as possible and you have the best chance of overcoming a bad diagnosis.

   If it were to be diagnosed as a melanoma, then the tumor tissue should be tested to determine which type of DNA mutation it would contain, C-kit, BRAF, etc.  The type mutation determines future treatment if later there is further spread. 

   Please let us know what you learn.

Odds are that it is nothing to worry about (Yea, easier said than to not worry any!) 

       As to spreading by a biopsy, they could do a needle biopsy which would not spread it.  If they do a surgical biopsy (much more definitive) they may remove either a portion of or the full toenail.  They should remove the entire spot.  If it were to be found to be melanoma they would go in for wider margins to reduce the chances of there being missed cells.  The sentiinal node should be located prior to or concurrently with a wider excession.

    Melanoma under the nails is normally acral lentigimous melanoma.  If found late (usually found late) then it can be very serious.  Learn what it is as early as possible and you have the best chance of overcoming a bad diagnosis.

   If it were to be diagnosed as a melanoma, then the tumor tissue should be tested to determine which type of DNA mutation it would contain, C-kit, BRAF, etc.  The type mutation determines future treatment if later there is further spread. 

   Please let us know what you learn.

I would not do a needle biopsy. With my melanomas they have always told me that when they pull the needle out it has a good possibility of spreading it. I have a mass in my knee right now which I am having surgically removed at Sylvestor. They did not want to do a needle biopsy due to the risks.
Please be careful….
Best,
Jean

I would not do a needle biopsy. With my melanomas they have always told me that when they pull the needle out it has a good possibility of spreading it. I have a mass in my knee right now which I am having surgically removed at Sylvestor. They did not want to do a needle biopsy due to the risks.
Please be careful….
Best,
Jean

I would not do a needle biopsy. With my melanomas they have always told me that when they pull the needle out it has a good possibility of spreading it. I have a mass in my knee right now which I am having surgically removed at Sylvestor. They did not want to do a needle biopsy due to the risks.
Please be careful….
Best,
Jean

Here are two url's that refer to toenail problems.  They do underplay the seriousness of melanoma being malignant and they indicate that radiation and/or standard chemo are cures.  I responded to one.

How-to-Tell-If-You-Have-a-Toenail-Melanoma&id=1492899

://www.nailfungusbliss.com/nail-fungus/how-to-identify-a-toenail-melanoma/comment-page-1#comment-76363

   MY Response to this one:

1. JerryfromFauq on January 5th, 2013 at 10:35 pm Your comment is awaiting moderation.

   Mucosal melanoma and Acral lentiginous melanoma are not the same melanoma. Any melanoma is considered malignant and can be deadly if not treated in the early stage. I am a c-kit stage IV melanoma patient. Surgery is the best treatment. Radiation therapy may reduce the tumor load but seldom is an actual cure for melanoma. Most Chemotherapy treatments have less than a 1% long term success rate at stopping melanoma progression. Newer targeted chemo (many in clinical trials) are most likely to be successful if one of the immunotherapy treatments (5% success rate and a 15% partial response rate are not successful.)

 

On the subject of Spreading of Melanoma by needle aspirations/surgery.   I had not researched this in detail, but have learned that there is debate between specialists as to which is the most likely to cause the most spread.  Of course if it is not melanoma the FNA cannot cause spresd.If the aspiration gives anything beside an unqualified clear, I would want immediate surgery.  I had two fine needle aspirations (FNA's)in different locations that were inconclusive (2006 & 2007).  I had immediate surgery – both were melanoma.  In the case of a nail FNA, if any melanoma were suspected from the FNA, I would expect that all tissue the needle went through would be removed in the margins for the surgery.

Here are two url's that refer to toenail problems.  They do underplay the seriousness of melanoma being malignant and they indicate that radiation and/or standard chemo are cures.  I responded to one.

How-to-Tell-If-You-Have-a-Toenail-Melanoma&id=1492899

://www.nailfungusbliss.com/nail-fungus/how-to-identify-a-toenail-melanoma/comment-page-1#comment-76363

   MY Response to this one:

1. JerryfromFauq on January 5th, 2013 at 10:35 pm Your comment is awaiting moderation.

   Mucosal melanoma and Acral lentiginous melanoma are not the same melanoma. Any melanoma is considered malignant and can be deadly if not treated in the early stage. I am a c-kit stage IV melanoma patient. Surgery is the best treatment. Radiation therapy may reduce the tumor load but seldom is an actual cure for melanoma. Most Chemotherapy treatments have less than a 1% long term success rate at stopping melanoma progression. Newer targeted chemo (many in clinical trials) are most likely to be successful if one of the immunotherapy treatments (5% success rate and a 15% partial response rate are not successful.)

 

On the subject of Spreading of Melanoma by needle aspirations/surgery.   I had not researched this in detail, but have learned that there is debate between specialists as to which is the most likely to cause the most spread.  Of course if it is not melanoma the FNA cannot cause spresd.If the aspiration gives anything beside an unqualified clear, I would want immediate surgery.  I had two fine needle aspirations (FNA's)in different locations that were inconclusive (2006 & 2007).  I had immediate surgery – both were melanoma.  In the case of a nail FNA, if any melanoma were suspected from the FNA, I would expect that all tissue the needle went through would be removed in the margins for the surgery.

Here are two url's that refer to toenail problems.  They do underplay the seriousness of melanoma being malignant and they indicate that radiation and/or standard chemo are cures.  I responded to one.

How-to-Tell-If-You-Have-a-Toenail-Melanoma&id=1492899

://www.nailfungusbliss.com/nail-fungus/how-to-identify-a-toenail-melanoma/comment-page-1#comment-76363

   MY Response to this one:

1. JerryfromFauq on January 5th, 2013 at 10:35 pm Your comment is awaiting moderation.

   Mucosal melanoma and Acral lentiginous melanoma are not the same melanoma. Any melanoma is considered malignant and can be deadly if not treated in the early stage. I am a c-kit stage IV melanoma patient. Surgery is the best treatment. Radiation therapy may reduce the tumor load but seldom is an actual cure for melanoma. Most Chemotherapy treatments have less than a 1% long term success rate at stopping melanoma progression. Newer targeted chemo (many in clinical trials) are most likely to be successful if one of the immunotherapy treatments (5% success rate and a 15% partial response rate are not successful.)

 

On the subject of Spreading of Melanoma by needle aspirations/surgery.   I had not researched this in detail, but have learned that there is debate between specialists as to which is the most likely to cause the most spread.  Of course if it is not melanoma the FNA cannot cause spresd.If the aspiration gives anything beside an unqualified clear, I would want immediate surgery.  I had two fine needle aspirations (FNA's)in different locations that were inconclusive (2006 & 2007).  I had immediate surgery – both were melanoma.  In the case of a nail FNA, if any melanoma were suspected from the FNA, I would expect that all tissue the needle went through would be removed in the margins for the surgery.