Acral lentiginous melanoma

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Acral lentiginous melanoma
Classification and external resources
ICD-10 C43
ICD-9 172.0-173.9
ICD-O: 8744/3

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Acral lentiginous melanoma

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Overview

Acral lentiginous melanoma is a kind of skin melanoma. It is also known as subungual melanoma. It is seen on the palms, soles and under the nails. This is the most common form of melanoma in Asians and Blacks. The average age at diagnosis is between sixty and seventy years. It also occurs in Caucasians and in young people. This type of melanoma occurs on non hair baring surfaces of the body which may or may not be exposed to sunlight.

Typical symptoms include:

  • longitudinal tan, black, or brown streak on a finger or toe nail (melanonychia striata)
  • pigmentation of proximal nail fold
  • areas of dark pigmentation on palms of hands or soles of feet

Any new area of pigmentation or an existing one that shows change should be checked by a dermatologist. If caught early this type of melanoma has a similar cure rate as the other types of superficial spreading melanoma.

The microscopic hallmarks are:

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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