Evidence map›Paper›PMID 41681918›Full record

ReviewCancers2026

Dermoscopy of Subungual Squamous Cell Carcinoma: A Systematic Review.

Ewelina Mazur, Dominika Kwiatkowska, Myrto Trakatelli, Elizavet Lazaridou, Zoe Apalla, Aikaterini Patsatsi, Styliani Siskou, Anastasia Trigoni, Christina Kemanetzi, Adam Reich

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ewelina MazurDepartment of Dermatology, Faculty of Medicine, University of Rzeszów, 35-959 Rzeszow, Poland.ORCID 0000-0003-2329-6863
Dominika KwiatkowskaDepartment of Dermatology, Faculty of Medicine, University of Rzeszów, 35-959 Rzeszow, Poland.ORCID 0000-0003-3268-012X
Myrto TrakatelliSecond Department of Dermatology and Venerology, Aristotle University School of Medicine, Papageorgiou Hospital, 546 43 Thessaloniki, Greece.
Elizavet LazaridouSecond Department of Dermatology and Venerology, Aristotle University School of Medicine, Papageorgiou Hospital, 546 43 Thessaloniki, Greece.ORCID 0000-0002-4072-3591
Zoe ApallaSecond Department of Dermatology and Venerology, Aristotle University School of Medicine, Papageorgiou Hospital, 546 43 Thessaloniki, Greece.
Aikaterini PatsatsiSecond Department of Dermatology and Venerology, Aristotle University School of Medicine, Papageorgiou Hospital, 546 43 Thessaloniki, Greece.ORCID 0000-0001-9616-2001
Styliani SiskouSecond Department of Dermatology and Venerology, Aristotle University School of Medicine, Papageorgiou Hospital, 546 43 Thessaloniki, Greece.
Anastasia TrigoniSecond Department of Dermatology and Venerology, Aristotle University School of Medicine, Papageorgiou Hospital, 546 43 Thessaloniki, Greece.
Christina KemanetziSecond Department of Dermatology and Venerology, Aristotle University School of Medicine, Papageorgiou Hospital, 546 43 Thessaloniki, Greece.
Adam ReichDepartment of Dermatology, Faculty of Medicine, University of Rzeszów, 35-959 Rzeszow, Poland.ORCID 0000-0002-5573-1754

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSubungual squamous cell carcinoma is a rare malignancy of the nail unit that is frequently misdiagnosed as benign nail disease, leading to prolonged diagnostic delays and sometimes invasive spread.

objectiveTo synthesize the dermoscopic features of histologically confirmed subungual squamous cell carcinoma and to compare patterns between invasive and in situ disease.

methodsWe performed a systematic review and meta-analysis (PROSPERO CRD42023470387) following PRISMA and MOOSE guidance. PubMed, Scopus and Cochrane CENTRAL were searched. Extracted data included study design, lesion counts, histologic subtype and specific dermoscopic signs. Random-effects meta-analysis (DerSimonian-Laird with Freeman-Tukey transformation) produced pooled prevalences with 95% confidence intervals. Between-study heterogeneity was assessed with Cochran's Q and

resultsTwenty studies comprising 121 lesions (96 invasive, 25 in situ) were included. In invasive lesions, the most common dermoscopic findings were subungual hyperkeratosis (pooled prevalence 89%; 95% CI 78-97;

conclusionsDermoscopy reliably identifies features, particularly hyperkeratosis, onycholysis, irregular margins and hemorrhagic spots, that are common in invasive subungual squamous cell carcinoma; in situ disease more commonly presents with pigmentary changes. Recognition of these signs should lower the threshold for biopsy of suspicious single-digit nail lesions and may facilitate earlier diagnosis and treatment.

Indexed as

dermoscopic featuresdermoscopynail canceronychoscopysubungual SCC

Identifiers

PMID41681918
PMCPMC12896984

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.