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Acral lentiginous malignant melanoma. Case report.
Scandinavian Journal of Plastic and Reconstructive Surgery
|January 1, 1986
Summary
This case study highlights a rare regressing acral lentiginous malignant melanoma on the sole. Despite early histological indicators, diagnosing such melanomas remains challenging, impacting timely treatment.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Acral lentiginous malignant melanoma (ALMM) is a rare subtype of melanoma.
- It typically occurs on the palms, soles, or nail beds.
- Early diagnosis is crucial for effective treatment and improved prognosis.
Observation:
- A case of regressing ALMM on the sole is presented.
- The primary tumor showed histological findings classified as Clark's level I.
- Metastases were observed en route and in regional lymph nodes.
Findings:
- Histological classification as Clark's level I indicates superficial invasion.
- The presence of metastases despite early histological signs underscores diagnostic challenges.
- Regressing features can complicate the assessment of tumor activity and extent.
Implications:
- This case emphasizes the difficulty in the early diagnosis of ALMM.
- It highlights the need for increased vigilance and advanced diagnostic techniques for subtle melanoma presentations.
- Improved diagnostic strategies are essential for timely intervention in challenging melanoma cases.