Black Toenail - Two week pathway

Hi I have been referred to a specialist due to my big toenail going black. Originally I thought this was a bruise so applied gel paint over it for my holiday. Weeks later I can see the nail has grown through black. Having removed the polish and visiting the GP they have referred me on a 2 week pathway to rule out melanoma.  Does anyone know what will happen at my appointment? Will I need a biopsy and if so is that a painful procedure? I am extremely nervous and just have a bad feeling this may be something sinister. At the base by my cuticle the lines are a deeper black colour. 

Parents
  • Hi,

    The dermatologist will take a look & decide if it needs a biopsy. It's rarely doon on the day of that appointment but you would be called back as a day surgery patient. Sometimes they peel the nail back and take a scraping of the nail bed or they remove the whole nail and take a larger scraping of the nail bed. The tissue is then sent for biopsy and the results received a few weeks later.

    Subungual melanoma isn't common so hopefully your nail problem is caused by something else but it's good that you are getting it checked out. Good luck and please let us know how you get on,

    Angie (Stage 3 melanoma patient since 2009)

Reply
  • Hi,

    The dermatologist will take a look & decide if it needs a biopsy. It's rarely doon on the day of that appointment but you would be called back as a day surgery patient. Sometimes they peel the nail back and take a scraping of the nail bed or they remove the whole nail and take a larger scraping of the nail bed. The tissue is then sent for biopsy and the results received a few weeks later.

    Subungual melanoma isn't common so hopefully your nail problem is caused by something else but it's good that you are getting it checked out. Good luck and please let us know how you get on,

    Angie (Stage 3 melanoma patient since 2009)

Children