Ungual or periungual melanoma

Hi, I am in my 30's and live in UK. I have a long existing (5 years or more) infected thumb nail on my right hand. Both sides of my thumb nail have vertical black areas with a mass (5 mm Diameter) at right corner of nail bed. The left corner also looks like having a mass of 3 mm but isn't swollen much and is unnoticeable. The right mass is dark brownish and has a swollen appearance and doesn't hurt on its own but when I wash dishes some day, the swelling goes red exposing slightly the inside layer of nail bed and hurts. Sometimes the right mass is also itchy but I avoid the urge. 

I tried getting treatments for it in my home country and Dermatologist suggested anti-fungal course for a month and nothing happened. The infection is still there. I didn't go back to the doctor for 2nd consult. I was going through nail cancer articles and I am scared now, what if my nail condition is cancer and I have delayed screening thinking it's fungal. 

Can someone tell me what other symptoms one might observe physically if they got periungual/subungual melanoma ? Would there be any dizziness, vomiting, chest congestion or any other physical discomfort that are tell tale signs of ungual melanoma spreading to other parts of body ? I contacted GP for a fungal infection and she asked to provide nail clippings. Will they test the clippings for cancer as well or I need to book another appointment to get cancer screening of the nail and mass ? 

Wish I could upload a picture for better clarity.

  • Hi,

    I'm sorry you are going through this worry. The symptoms you describe can be down to many different causes so no one can say if any, or all, of them would be due to melanoma of any type. Melanoma, when it spreads, can be contained in the lymph node & causes no symptoms or can spread to internal organs, bones and/or the brain so no one can tell where or if it's spread.

    The nail clippings you have provided can only be tested for fungal infection. If this comes back negative then your GP should consider other possibilities, including a referral to dermatology. Please push for this if they don't suggest it as it's the only way to know if the problem is due to melanoma. Removal of the nail or a punch biopsy of the nail may need to be carried out if the dermatologist thinks a biopsy if required of the nail bed. 

    Hopefully the problem will be due to something that can be easily treatable. I hope you get your fungal infection result back quickly &, if it's not fungal, push for an urgent (2 week cancer pathway) referral to dermatology. The quicker the cause is found the quicker you will have peace of mind. Good luck and please let us know how you get on,

    Angie (Stage 3 superficial spreading melanoma patient since 2009)

  • Thanks for the directions Angie! I will follow your guidance.

    Regards,

    AP