Rare nodular malignant melanoma of the heel in the Caribbean: A case report

Warner, Wayne A.; Sookdeo, Vandana Devika; Umakanthan, Srikanth; Sarran, Kevin; Pran, Lemuel; Fortuné, Maurice; Greaves, Wesley O.; S, Narinesingh; Harnanan, Dave; Maharaj, Ravi

doi:10.1016/j.ijscr.2016.11.047

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…However, acral lentiginous melanoma is pigmented and is more common in people with dark skin, such as Asian, African, and middle easterners . Lentiginous melanoma is characterised by a radial growth pattern depicted by lateral neoplastic spread with localization to the epidermis …”

Section: Discussionmentioning

confidence: 99%

A rare case of acral amelanotic melanoma, nodular type

Saeed

Braniecki

Groth

2019

International Wound Journal

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Amelanotic melanoma is a rare melanoma subtype, and it is even more rare when it occurs at an acral site. We here present a case of a nodular amelanotic acral melanoma (NAAM) occurring on the heel of an 83‐year old female. It presented as an ulcerated pink nodular growth on the heel, which clinically mimicked other nodular non‐pigmented lesions, causing a delay in diagnosis until it was biopsied. This case is a demonstration of the critical importance to include NAAM in the differential diagnosis of nodular non‐pigmented skin lesions as to avoid delay in diagnosis and disease progression, in which early detection can provide the most modifiable prognostic factor.

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Section: Discussionmentioning

confidence: 99%

A rare case of acral amelanotic melanoma, nodular type

Saeed

Braniecki

Groth

2019

International Wound Journal

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“…Heel melanoma is a rare subtype of malignant melanoma with atypical clinical manifestations, which varies across different geographical areas in terms of prevalence . Malignant heel melanoma is a rare type of foot melanoma, which appears to be associated with general risk factors of melanoma, exposure to sunshine, geographic location, and the individual's melanin level . The following is the case report of a patient with heel melanoma that is presented to emphasise the importance of biopsy of all unknown lesions to prevent delays in diagnosis and to avoid unrelated side treatments.…”

Section: Introductionmentioning

confidence: 99%

The heel amelanotic melanoma, a rare subtype of skin cancer misdiagnosed as foot ulcer: A case report

Hakamifard

Mohaghegh

Shabib

et al. 2020

International Wound Journal

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Amelanotic melanoma (AM) of the heel is a very rare subtype of malignant melanoma in which the tumour cells, unlike other types of melanoma, are characterised by little or no melanin pigmentation. AM resembles many benign dermatological complications that often lead to late diagnosis of lesions, poor prognosis, and occasionally misdiagnosis at an early stage of the disease. We report a case of a 73‐year‐old man with a heel ulcer who was admitted to Al‐Zahra Hospital (Isfahan, Iran). Chronic osteomyelitis was considered the primary diagnosis, and several courses of antibiotics were prescribed for the patient. The ulcer failed to improve after 9 months' of therapy, and because of an increase in the size of the ulcer and the growth of two tumours in the right heel, a biopsy of the lesion was conducted. The pathology report confirmed invasive AM. The present report emphasises the necessity to biopsy all skin lesions, even with low clinical significance, to avoid wrong subsequent treatments, prevent a delay in diagnosis, reduce misdiagnosis, and improve the survival rate of patients.

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Clinical Presentations of Melanoma in African Americans, Hispanics, and Asians

et al. 2019

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BACKGROUND Skin cancer has traditionally been studied in Caucasian skin. Although it does occur with increased relative frequency in Caucasians, patients with skin of color suffer from elevated morbidity and mortality when diagnosed with skin cancer. OBJECTIVE To detail the unique demographic, clinical, and genetic features of melanoma in patients with skin of color, including Hispanic, African American, and Asian patients. MATERIALS AND METHODS A PubMed search was conducted spanning dates 1947 to June 2017. A total of 246 articles were screened, from which 69 were included in this review. RESULTS Relative to Caucasians, melanoma has unique demographic, clinical, and genetic features in African Americans, Hispanics, and Asians that include gender and subtype predominance. CONCLUSION Familiarization with these unique presentations of skin cancer in skin of color is imperative to accurate identification and treatment of cutaneous malignancies in these populations and ultimately to improved disease-related outcomes.

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Rare nodular malignant melanoma of the heel in the Caribbean: A case report

Cited by 3 publications

References 16 publications

A rare case of acral amelanotic melanoma, nodular type

A rare case of acral amelanotic melanoma, nodular type

The heel amelanotic melanoma, a rare subtype of skin cancer misdiagnosed as foot ulcer: A case report

Clinical Presentations of Melanoma in African Americans, Hispanics, and Asians

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