I spotted an early sign of deadly cancer on my husband’s toenail – doctors dismissed it as a fungal infection

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A WOMAN has shared how she found a worryingly small early symptom of cancer on her husband’s toenail – which was dismissed by doctors as a fungal infection.

David Edges wasn’t concerned when a faint line appeared on one of his toenails, but it rang alarm bells for his wife Kelly.

Photo of a man and woman.
Kelly Edges spotted a subtle sign of skin cancer on her husband David’s toenail
Close-up photo of a toenail with a thickened, darkened line, circled in red.
She grew concerned when she saw a line across his toenail – but doctors dismissed as a fungal issue
Man's bandaged toe after melanoma removal.
The line gradually grew thicker and it turned out to be a sign of melanoma

The 47-year-old skin specialist had taken a course about nail conditions during her training and remembered that changes like the line could hint at something serious.

She insisted David, 52, get checked by a doctor, who said to just keep an eye on the nail.

A second opinion from another GP, prompted by Kelly, had a similar result – with this doctor allegedly dismissing the line as a fungal issue.

But Kelly monitored the change in the nail and noticed the line thickening over time.

The couple insisted that doctors get a biopsy from David.

This revealed that the 52-year-old in fact had a type of skin cancer called melanoma, confined to just that area of the skin.

“It’s awful to hear the words melanoma,” Kelly, from Solihull, said.

“I first noticed the line in May 2022 and it rang alarm bells because I remember learning about nail conditions and changes during my training back in the late 90s.

“I also understood that you cannot tell the difference between a malignant subungual melanoma (skin cancer that develops under the nail) and a benign one.

“Doctors are great at quick referrals for changes in moles on the body but because subungual melanomas are so rare, there didn’t seem to be a lot of concern for his toe.

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“David visited the GP that same month and was told to keep an eye on it.

“He was happy to go with the professional’s advice, but I wasn’t happy.

“I kept an eye on it and the following October I noticed the line was wider and had darkened in colour.”

This time, a second GP said it was “likely to be fungal”.

A couple wearing ski gear smiles for a selfie.
Kelly kept insisting that the line on David’s toenail was something sinister
Close-up of a toenail with a dark line, a possible sign of melanoma.
David’s toe after a skin graft

Kelly said: “I felt very frustrated at this point so we booked a private appointment.

“The doctor thoroughly checked David’s toe nails and she asked for comparison photos of the toe.

“I’d taken two spaced 17 months apart, and she acknowledged that there was in fact a change.

“The line was over 3 mm in width.”

Following a biopsy, he was finally given the diagnosis.

Kelly said: “I was so happy to hear the word ‘in situ’ as this means it’s confined to the epidermis and hasn’t spread.”

David underwent a procedure to remove all the cancerous cells, with a skin graft taken from his thigh added to the area to give a healthy margin of skin.

Luckily, there was no residual cancer left following the treatment.

Kelly added: “We didn’t tell our children until David got the all-clear as he didn’t want to worry them.

“Our son was doing his GCSE so it wasn’t right to worry about him.

“He’s been very private during appointments and biopsies, but now he has the all-clear he feels it’s important to let people know the warning signs.

“We don’t want to scare people with this but just want to emphasise the importance of finding cancer early.

“Now, his toe is healing nicely and we’re going on a family ski holiday in April.”

Kelly has gone on to train with Skcin, a UK-based charity dedicated to the prevention and early detection of skin cancer.

[boxout headline=”The signs of subungual melanoma”]

Subungual melanoma, or nail melanoma, is skin cancer under your nail.

It usually appears as a dark, vertical streak on your nail.

Subungual melanoma is rare but serious.

Unlike other skin cancers, subungual melanoma isn’t linked to sun exposure.

It’s most likely to develop in your big toe, thumb or index finger.

It usually has a distinct shape, which some may describe it as looking like you drew a line on your nail with a black or brown marker.

It appears as a dark line on your nail and runs from bottom to top.

This streak or stripe may start small but grow to cover the entire nail and extend to the cuticle.

The line will typically get wider over time, and they can also multiply.

Source: Cleveland Clinic

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