Nail Book Section


Authors: Phillips, W.; Davis, M.; Rossi, A.; Nehal, K. S.
Editors: McKay, C.; Nehal, K. S.
Article/Chapter Title: Nail
Abstract: A nail case presents varied anatomical structures and tissue types: nail plate Nail plate , nail bed Nail bed , matrix, proximal and lateral folds, hyponychium, and eponychium. Though composed of many elements, the entire nail apparatus Nail apparatus should be conceptualized as a single unit, as rarely is just one isolated component of the nail involved in a Mohs surgery case. The Mohs technician may follow the nail tissue specimen as it is excised in the Mohs surgery room to understand and preserve orientation. The nail tissue may be excised as a single block or in multiple parts by the Mohs surgeon, and the Mohs technician needs to recognize nail anatomy to reconstitute the jigsaw puzzle of margins. Further teamwork at the microscope to troubleshoot any tissue processing issues is invaluable. Given the complexity of multiple tissue planes in the nail unit, close communication Communication between the Mohs surgeon and technician is critical during the entire process. The most common tumor of the nail unit is squamous cell carcinoma and is frequently associated with human papilloma virus. © The Author(s), Springer Nature Switzerland AG 2024. All rights reserved.
Keywords: nail bed; nail matrix; planar flattening; poor adherence; double embedding; nail apparatus; nail avulsion; nail plate; nail plate sectioning
Book Title: Laboratory manual for mohs micrographic surgery: Frozen tissue processing
ISBN: 978-3-031-52433-2
Publisher: Springer  
Publication Place: Cham, Switzerland
Date Published: 2024-01-01
Start Page: 131
End Page: 137
Language: English
DOI: 10.1007/978-3-031-52434-9_11
PROVIDER: scopus
DOI/URL:
Notes: Source: Scopus
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MSK Authors
  1. Kishwer S Nehal
    278 Nehal
  2. Anthony Rossi
    233 Rossi
  3. Michael James Davis
    11 Davis
  4. Camille J McKay
    21 McKay
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