Abstract |
This study describes a case of amelanotic lentigo maligna melanoma in a 69-year-old female that had been growing for approximately 5 years. The asymptomatic lesion had been previously diagnosed and treated as a fungal skin infection, an inflammatory rash, and an actinic keratosis that did not respond to standard treatments. Biopsy revealed confluent and nested atypical melanocytes at the dermal-epidermal junction, consistent with melanoma in situ. Excisional biopsy revealed invasive lentigo maligna melanoma, Breslow depth 0.3 mm, with positive melanoma in situ at margins. She is now 3 years post- Mohs surgery without recurrence. When working up a patient with a hypopigmented or inflammatory lesion not responding to standard therapies, physicians should always consider biopsy to rule out unusual neoplastic etiologies, such as amelanotic melanomas.
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Authors | Guilherme Kuceki, Dekker C Deacon, Aaron M Secrest |
Journal | Case reports in dermatological medicine
(Case Rep Dermatol Med)
Vol. 2022
Pg. 2598965
( 2022)
ISSN: 2090-6463 [Print] United States |
PMID | 36386569
(Publication Type: Case Reports)
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Copyright | Copyright © 2022 Guilherme Kuceki et al. |