Acral (volar-subungual) XXXX in Auckland, New Zealand.

@entity1 @entity75 @entity320 @entity272
We have retrospectively reviewed the charts of 34 acral @entity320 @entity1 ( @entity320 arising from the volar skin of the hands, feet or a subungual site) seen in the Auckland area between 1970 and 1985. These 34 @entity1 constituted 3.5 per cent of the total number of @entity1 (972) reviewed over this period. Six of the thirty-four @entity1 were either Polynesian or Maori. There were 19 @entity1 and 15 @entity1 , and the mean age of the group was 59 years. The @entity75 arose from the plantar or palmar skin in 25 @entity1 and 9 @entity1 had @entity75 . All lesions but one were pigmented. Most @entity1 with @entity75 presented with clinical stage 1, Clark's level 4 disease, while those with @entity75 presented most commonly with stage 2, Clark's level 5 disease. Treatment was wide local resection for plantar and @entity75 and amputation for @entity75 . Regional lymph node dissection was performed in 10 @entity1 with positive nodes at presentation and in 6 @entity1 who developed metachronous nodal disease. @entity1 were followed for between 1 and 16 years, and 18 @entity1 died in this period, 15 of @entity320 (mean time 34 months). @entity320 carried a worse prognosis than @entity320 arising in @entity272 .
