Ann Dermatol.  2011 Aug;23(3):400-404. 10.5021/ad.2011.23.3.400.

Acral Lentiginous Melanoma Developing during Long-standing Atypical Melanosis: Usefulness of Dermoscopy for Detection of Early Acral Melanoma

Affiliations
  • 1Department of Dermatology, Korea University College of Medicine, Seoul, Korea. kumcihk@korea.ac.kr

Abstract

Clinical guidelines suggest that suspicious pigmented lesions of the plantar or palmar area require biopsy for early detection of acral melanoma. We present here a case of acral lentiginous melanoma in which various melanocytic atypia was observed at each biopsy site, including focal melanocytic proliferation. We suggest that this atypical melanosis is part of a contiguous phase of invasive tumor growth, which is known as the very early stage of melanoma in situ. In addition, noninvasive dermoscopy has been effective for the early discovery of hidden lesions of acral melanoma.

Keyword

Acral lentiginous melanoma; Dermoscopy

MeSH Terms

Biopsy
Dermoscopy
Melanoma
Melanosis
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