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Case Reports in Medicine
Volume 2011 (2011), Article ID 670581, 4 pages
Case Report

Acral Lentiginous Melanoma: A Case Control Study and Guidelines Update

1Department of Surgery, Interbalkan European Medical Center, 84 Tsimiski Street, 54622 Thessaloniki, Greece
2Department of Radiology, “Panagia” General Hospital, 22 Nik. Plastira street, Nea Krini, Kalamaria, 55132 Thessaloniki, Greece
3Department of Oncology, Interbalkan European Medical Center, 10 Asklipiou street, Pylaia, 57001 Thessaloniki, Greece

Received 11 October 2010; Accepted 15 February 2011

Academic Editor: Ting Fan Leung

Copyright © 2011 Christoforos Kosmidis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Malignant melanoma incidence is increasing dramatically. We report herein a case of the rarest acral lentiginous type. Case Report. A 58-year-old man presented with a melanoma resembling lesion over the sole of his right foot, measuring 15–20 mm in diameter. An excisional biopsy with a narrow (2 mm) margin of surrounding skin was obtained. Histological findings were consistent with a diagnosis of acral lentiginous melanoma. Sentinel lymph node biopsy was also performed and micrometastases were not identified in frozen-section examination. According to the AJCC system, the tumor stage was IB (T2aN0M0). A wide local excision of the biopsy scar with a margin of 2 cm was performed. A split-thickness thick skin graft was used to reconstruct the excisional defect. During an 18-month followup, no local or distant recurrence has been observed. This paper aims to extract an updated rational approach to the management of this disease out of an enormous body of knowledge.