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Canine (Cavalier King Charles Mix) · Radiograph — Forelimb

RadiographForelimbLevel: Radiologist
Species
Canine
Breed
Cavalier King Charles Mix
Age
14 years
Sex
Female spayed
Weight
21 kg
Level
Radiologist

Presenting complaint and brief history

Swollen toe.

Diagnosis

Hides the diagnosis, imaging findings, outcome, take-home points and correlation photos so you can read the images blind.

Subungual squamous cell carcinoma

Confirmed

Imaging findings

The distal phalanx of the 5th digit is mildly reduced in mineral opacity and has slightly less well-defined margins than the remainder of the distal phalanges. The claw of this digit is mildly enlarged.

What happened with the patient

Successful amputation at the metacarpophalangeal joint of right 5th digit.

Key take-home points

  • The differential diagnoses were a benign digital mass-forming lesion such as subungual keratoacanthoma (considering the slightly enlarged claw), neoplasia (such as squamous cell carcinoma, melanoma, or lymphoma), and osteomyelitis (such as fungal or bacterial)
  • This lesion is tricky to see radiographically. Sometimes, subungual squamous cell carcinomas progress to become large markedly lytic lesions. When caught early, the lesion can be as subtle as a small region of bony lysis.

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Contributed by

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Cite this case

Ofer O. Subungual squamous cell carcinoma. Radabase case 88e991e9. Retrieved 2026-10-07 from https://www.radabase.vet/case/88e991e9-d8dc-4a66-b46f-4b92ccbf60d8