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09:38
Minimally Invasive Isolated Limb Perfusion (MI-ILP) for Locally Advanced Melanomas and Sarcomas of the Extremity
Published on: January 31, 2025
992
Advanced Pretibial Melanoma (APM): Clinicians Behaviour As Triggering Factor?
Georgi Tchernev1,2, Ivan Pidakev3, Anastasiya Atanasova Chokoeva1
1"Onkoderma"- Policlinic for Dermatology and Dermatologic Surgery, Sofia, Bulgaria.
Open Access Macedonian Journal of Medical Sciences
|February 28, 2018
Summary
Misdiagnosing pigmented lesions can have fatal consequences. A case highlights that while treatments like shave-curettage are tempting, they prevent crucial histological examination, risking lives if melanoma is missed.
Area of Science:
- Dermatology
- Oncology
Background:
- Pigmented lesions encompass a wide range of benign and malignant conditions.
- Accurate diagnosis is challenging due to atypical presentations of benign lesions.
- Treatments like shave-curettage or laser destruction for benign lesions preclude histological examination.
Observation:
- A patient with advanced pretibial melanoma and lung metastases was misdiagnosed as seborrheic keratosis.
- The lesion was treated with shave-curettage six months prior to diagnosis.
- This case underscores the potential for severe consequences from misdiagnosis.
Findings:
- Misdiagnosis of melanoma as a benign lesion can lead to delayed treatment.
- Invasive treatments that destroy tissue prevent definitive histological diagnosis.
- Failure to obtain histological verification poses a significant risk.
Implications:
- Emphasizes the critical importance of correct therapeutic methods for all pigmented lesions of unknown origin.
- Highlights the potentially fatal risks associated with misdiagnosing melanoma.
- Advocates for diagnostic certainty over potentially curative but non-diagnostic treatments.
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