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Acral lentiginous melanoma: A retrospective study
Ugo Redi1, Giovanni Marruzzo1, Stefano Lovero1
1Department of Surgery "Pietro Valdoni", Plastic Surgery Unit, Sapienza University of Rome, Rome, Italy.
Journal of Cosmetic Dermatology
|September 26, 2020
Summary
Acral lentiginous melanoma (ALM) diagnosis is often delayed due to patient and physician factors. Early recognition of ALM warning signs like bleeding or size changes is crucial for better outcomes.
Area of Science:
- Dermatology
- Oncology
Background:
- Acral lentiginous melanoma (ALM) is an aggressive skin cancer subtype with a poor prognosis.
- ALM typically affects the extremities and is often diagnosed at advanced stages.
Purpose of the Study:
- To present the authors' experience with acral lentiginous melanoma.
- To analyze diagnostic delays and patient/physician factors in ALM cases.
Main Methods:
- Retrospective study design.
- Data collection through medical records and patient phone interviews.
Main Results:
- 43 patients with ALM were analyzed.
- Common symptoms included bleeding, size >6mm, and changes in size/shape/color.
- Diagnostic delays were significant, with many patients waiting over 3 months for biopsy, and some over a year for initial medical attention.
Conclusions:
- Diagnostic delay is a major challenge in managing ALM.
- Failure to recognize warning signs by both patients and physicians contributes to delayed diagnosis.
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