Multiple Primary Acral Lentiginous Melanomas (MPALM)

Miriam GonzÃ¡lez; Georgi Tchernev; Anastasiya Atanasovaâ€“Chokoeva; Katlein FranÃ§a; Torello Lotti

doi:10.3889/oamjms.2017.162

Authors

Miriam GonzÃ¡lez Department of Internal Medicine, Autonomous University of Honduras (UNAH), Service of Dermatology and Dermatologic Surgery, School University Hospital (HEU), Tegucigalpa 11101
Georgi Tchernev Medical Institute of Ministry of Interior (MVR) Sofia, Department of Dermatology and Dermatologic Surgery, Sofia; â€Onkodermaâ€- Policlinic for Dermatology and Dermatologic Surgery, Sofia
Anastasiya Atanasovaâ€“Chokoeva â€Onkodermaâ€- Policlinic for Dermatology and Dermatologic Surgery, Sofia
Katlein FranÃ§a Institute for Bioethics & Health Policy; Department of Dermatology & Cutaneous Surgery; Department of Psychiatry & Behavioral Sciences, University of Miami, Miller School of Medicine - Miami, FL
Torello Lotti University of Rome â€œ G.Marconiâ€, Rome

DOI:

https://doi.org/10.3889/oamjms.2017.162

Keywords:

melanoma, multiple primary tumours, acral located tumours, amputations, staging

Abstract

We present a rare case of a patient with multiple primary acral lentiginous melanomas of the foot. We would like to highlight the importance of whole-skin examination in all patients, even by the general practitioners, aiming the maximal early detection of acral lentiginous melanomas, considering their rapid progression, early metastatic spread and extremely poor prognosis. It can be extrapolated from current literature; however, that appropriate management of these patients, including staging work and surgical intervention, is to be determined by the individual characteristics of the melanoma and the patient's concomitant risk factors, if any.

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