Cutaneous Malignant Melanoma

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Presentation transcript:

Cutaneous Malignant Melanoma Deborah L. Cummins, MD, Jordan M. Cummins, BA, Hardin Pantle, MD, Michael A. Silverman, MD, Aimee L. Leonard, MD, Arjun Chanmugam, MD, MBA Mayo Clinic Proceedings Volume 81, Issue 4, Pages 500-507 (April 2006) DOI: 10.4065/81.4.500 Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 The presence of melanocytic nevi confers higher risk of the development of cutaneous melanoma. This adolescent boy had multiple variably pigmented and irregularly shaped acquired nevi on his upper back, chest, and face. From DermAtlas at: www.dermatlas.org, with permission. Mayo Clinic Proceedings 2006 81, 500-507DOI: (10.4065/81.4.500) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Superficial spreading melanoma: a 3-cm, brown plaque with variable pigmentation and a 1.5-cm, dark brown nodule arising from the inferior half of the lesion. From DermAtlas at: www.dermatlas.org, with permission. Mayo Clinic Proceedings 2006 81, 500-507DOI: (10.4065/81.4.500) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Superficial spreading melanoma: a 45-year-old woman noted darkening of a pigmented lesion on the left leg. The lesion was a 1-cm, irregular, brown plaque with a pinkish brown border. From DermAtlas at: www.dermatlas.org, with permission. Mayo Clinic Proceedings 2006 81, 500-507DOI: (10.4065/81.4.500) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 4 Nodular melanoma: round nodule on an oval, 3- by 5-cm, black patch. Ulceration and crusting are evident. From DermAtlas at: www.dermatlas.org, with permission. Mayo Clinic Proceedings 2006 81, 500-507DOI: (10.4065/81.4.500) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 5 This elderly woman had a 5-year history of a slowly expanding pigmented patch with scalloped borders on the left cheek. A skin biopsy specimen showed lentigo maligna melanoma. From DermAtlas at: www.dermatlas.org, with permission. Mayo Clinic Proceedings 2006 81, 500-507DOI: (10.4065/81.4.500) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 6 Acral lentiginous melanoma: black discoloration of the nailbed with spread of pigment into the cuticle and periungual skin. From DermAtlas at: www.dermatlas.org, with permission. Mayo Clinic Proceedings 2006 81, 500-507DOI: (10.4065/81.4.500) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions