Acral lentiginous melanoma treated by wide excision with split-thickness skin graft: case in images
Acral lentiginous melanoma (ALM) is the rarest of the four subtypes of cutaneous melanoma. It accounts for only 2-8% of melanomas in caucasians. Only 52 cases of ALM have been recorded in the Philippine Dermatological Society Health Information System from 2011 to 2016. Histopathologic demonstration of cytologic atypia, presence of mitoses in the deep dermis, pagetoid spread of epidermal melanocytes and lack of maturation of nests with descent into the dermis are features diagnostic of melanoma. ALM is primarily managed through wide surgical excision. The most common sites for ALM are the soles, palms, and subungual areas. The rarity of ALM, the inconspicuousness of the locations of some lesions, and the difficulty in discerning ALM from benign lesions and traumatic changes usually delay the diagnosis and contribute to the poor prognosis of the disease.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 4.0 International License that allows others to share the work for non-commercial purposes with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional, non-commercial contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors grant the journal permission to rewrite, edit, modify, store and/or publish the submission in any medium or format a version or abstract forming part thereof, all associated supplemental materials, and subsequent errata, if necessary, in a publicly available publication or database.
- Authors warrant that the submission is original with the authors and does not infringe or transfer any copyright or violate any other right of any third parties.