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Relearning the lesson -- amelanotic malignant melanoma: a case report.

Oburu E, Gregori A - J Med Case Rep (2008)

Bottom Line: A high index of suspicion is therefore required for early and appropriate intervention.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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedics, Hairmyres Hospital, East Kilbride, UK. oburue@yahoo.com

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.

No MeSH data available.


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Mentions: Lymphadenopathy was not clinically evident. Haematological parameters were normal. Radiology revealed a distal phalangeal radiolucent lesion (Figure 2). An excision biopsy diagnosed amelanotic melanoma with a Breslow level of 6 mm. The patient later developed pulmonary metastasis and died.


Relearning the lesson -- amelanotic malignant melanoma: a case report.

Oburu E, Gregori A - J Med Case Rep (2008)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2267474&req=5

Mentions: Lymphadenopathy was not clinically evident. Haematological parameters were normal. Radiology revealed a distal phalangeal radiolucent lesion (Figure 2). An excision biopsy diagnosed amelanotic melanoma with a Breslow level of 6 mm. The patient later developed pulmonary metastasis and died.

Bottom Line: A high index of suspicion is therefore required for early and appropriate intervention.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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedics, Hairmyres Hospital, East Kilbride, UK. oburue@yahoo.com

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.

No MeSH data available.


Related in: MedlinePlus