Blog
About

9
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Relearning the lesson – amelanotic malignant melanoma: a case report

      , 1 , 1

      Journal of Medical Case Reports

      BioMed Central

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Although not as common as the other melanomas, amelanotic melanoma often evades diagnosis by masquerading as other pathology. A high index of suspicion is therefore required for early and appropriate intervention. We present a patient who was diagnosed and managed as having paronychia of the middle finger while in actual fact he had a subungual amelanotic melanoma. By the time of his referral to the orthopaedic team it had progressed to an advanced stage. Our case underlies the importance of early recognition and referral of this rare but malignant lesion by primary care physicians.

          Related collections

          Most cited references 8

          • Record: found
          • Abstract: found
          • Article: not found

          Who discovers melanoma? Patterns from a population-based survey.

          Melanoma is external and potentially detectable by many persons but little is known about who first discovers these lesions. An understanding of discovery patterns can shape future public and professional education programs. Our purpose was to assess patterns of melanoma discovery and to determine the patients' role in finding their own lesions. With a written, mailed questionnaire, we conducted a population-based statewide survey of 216 incident cases of melanoma in Massachusetts. Approximately half (53%) of melanomas were self-discovered, whereas the remainder were detected by medical providers (26%), family members (17%), and others (3%). Nearly one third of persons said they could not see their own lesions easily. Compared with men, women were more likely to discover their own lesions (66% vs 42%, p = 0.001) and those on their spouses (23% vs 2%, p less than 0.001). Improving early detection and reducing mortality of melanoma will require both public and professional education programs, with particular emphasis on targeting men at highest risk of this disease.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Amelanotic melanoma presenting as a pyogenic granuloma.

            A sixty-two year old man was diagnosed as having an amelanotic of the right great toe after the lesion had been treated for several months as a pyogenic granuloma. Establishment of the correct diagnosis was aided by the finding of a radiolucent defect on a roentgenogram of the toe. Since amelanotic melanoma usually presents as a vascular or ulcerated nodule, rather than as a pigmented nevus, the lesion may be mistaken for a benign tumor. This case illustrates the necessity of histologic confirmation of all presumed pyogenic granulomas. Furthermore, it also stresses that clinical, histologic, and prognostic distinctions must be made between amelanotic melanoma and its pigmented counterpart.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Subungual melanoma: a clinico-pathological study of 24 cases.

               H S Rigby,  J C Briggs (2015)
              Twenty-four patients with subungual melanoma (13 women and 11 men) had a mean age of 61.6 years. Twenty-two lesions arose either on the thumb or hallux. The mean delay before diagnosis was 30 months. Two patients presented with stage two melanoma and three of the melanomas were in situ lesions (Clark level 1). Nineteen melanomas were Clark level 4 or 5 and the mean thickness of the invasive melanomas was 4.7 mm. Seven patients died of metastatic disease (mean survival 10 months, range 6-50 months). Clark level, thickness and mitotic activity of the melanomas correlated with poor clinical outcome. Delay in presentation and the presence of advanced disease contribute to the poor prognosis of this tumour.
                Bookmark

                Author and article information

                Journal
                J Med Case Reports
                Journal of Medical Case Reports
                BioMed Central
                1752-1947
                2008
                31 January 2008
                : 2
                : 31
                Affiliations
                [1 ]Department of Orthopaedics, Hairmyres Hospital, East Kilbride, G75 8RG, UK
                Article
                1752-1947-2-31
                10.1186/1752-1947-2-31
                2267474
                18237392
                Copyright © 2008 Oburu and Gregori; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                Categories
                Case Report

                Medicine

                Comments

                Comment on this article