Subungual hematoma

Approach
Figure A below is the clinical photograph of a 62 years old male who presents for evaluation of a finger mass for
the past 3 months. The patient delayed seeing a physician as he believed he had sustained a subungual
hematoma. Figure B is the corresponding radiograph. On examination, the finger is non-tender, has full motion of
the involved digit, and has intact sensation. He underwent a biopsy of the mass which is seen in Figure C&D. It is
decided that the patient will undergo amputation of the involved digit. Which of the following is most consistent
with this patient’s diagnosis?
Etiology

History taking
Physical examination
Clinical features
Diagnosis
Treatment