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Implantation and Evaluation of Melanoma in the Murine Choroid via Optical Coherence Tomography

Implantation and Evaluation of Melanoma in the Murine Choroid via Optical Coherence Tomography

Published on: December 2, 2022

Primary umbilical melanoma.

Roberto Cecchi¹, Mario Pavesi, Lauro Buralli

¹Department of Dermatology, Pistoia Hospital, Pistoia, Italy. r.cecchi@usl3.toscana.it

The Australasian Journal of Dermatology

|August 8, 2009

Summary

A rare primary umbilical melanoma in a 72-year-old woman highlights the need for aggressive surgical management. This case emphasizes careful consideration of the umbilicus's unique anatomy for treating malignant umbilical tumors.

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Area of Science:

Oncology
Surgical Pathology

Background:

Primary melanoma of the umbilicus is exceptionally rare.
Understanding the unique embryological connections of the umbilicus is crucial for surgical planning.

Observation:

A 72-year-old woman presented with a 4-year history of primary umbilical melanoma.
Pathological examination revealed Clark's level IV melanoma with a tumor thickness of 2.3 mm.

Findings:

The patient underwent sentinel lymph node biopsy and wide local excision, including the peritoneal attachment.
The umbilicus exhibits complex vascularity and embryonal connections to intra-abdominal structures.

Implications:

An aggressive surgical approach is recommended for managing malignant umbilical tumors.
This case underscores the importance of considering anatomical variations in umbilical tumor treatment.