Nurhayat OZKAN SEVENCAN, Ahmet Mert YANIK, Özlem BAYKAL, Yusif JAFAROV, İlhan Asude AKÇA, Duygu GÜL, Erol BAT, Onur TANGUR, Adem AKBAL, Ayse Rana SARIKAYA, Burçak KAYHAN

Akciğer İnvazyonu Ve İnguinal Bölgede Dev Kitle İle Prezente Olan Akral Melanom

Malign melanom, nadir görülen bir cilt kanseri türü olmasına rağmen cilt kanserlerine bağlı ölümlerin çoğunluğunu oluşturur. Ayaktaki melanomlar hem hasta hem de klinisyen tarafından önemsenmeyebilir ve sonrasında hasta metastatik lezyonlar ile prezente olabilir. Ayrıca bu yaralar basınç ülseri ile karıştırılabilir ve bu durum tanının gecikmesine neden olabilir. Uzun süre iyileşmeyen ayak yaralarında cilt biyopsisi yapılması gerektiği unutulmamalıdır. Biz bu yazıda; opere edilmesine rağmen ayağın aynı bölgesinde nüks eden, akciğer metastazı ve inguinal bölgede dev kitleye neden olan, akral melanomlu 84 yaşında bir kadın hastayı sunduk.

Acral Melanoma Presenting with Lung Invasion and a Giant Inguinal Mass

Although malignant melanoma is a rare type of skin cancer, it accounts for most skin cancer-related deaths. Foot lesions may be ignored by both patients and clinicians and could therefore lead to advanced disease. An acral melanoma may also be confused with a pressure ulcer and result in a late diagnosis. The need to perform a skin biopsy should therefore be considered when dealing with protracted wounds. In this report, we present the case of an 84-year-old female patient with malignant melanoma, which was diagnosed late, recurred in the same area following surgery, and caused lung metastasis and a giant inguinal mass.

Keywords:

Malignant melanoma, cutaneous cancer, foot ulcer, lung invasion, metastatic inguinal mass,

PDF

___

Gao W, Chen D, Ran X. Malignant melanoma misdiagnosed as diabetic foot ulcer: A case report. Medicine. 2017;96(29).
Jemal A, Siegel R, Xu J, Ward E. Cancer statistics, 2010. CA: a cancer journal for clinicians. 2010;60(5):277-300.
Samdariya S, Kumar D, Vishwanathan C, Ahmed I. An unusual case of masquerading malignant melanoma. Clinical Cancer Investigation Journal. 2015;4(3):422.
Chamberlain AJ, Fritschi L, Giles GG, Dowling JP, Kelly JW. Nodular type and older age as the most significant associations of thick melanoma in Victoria, Australia. Archives of dermatology. 2002;138(5):609-14.
Giblin A-V, Thomas J. Incidence, mortality and survival in cutaneous melanoma. Journal of plastic, reconstructive & aesthetic surgery. 2007;60(1):32-40.
Richardson B, Price A, Wagner M, Williams V, Lorigan P, Browne S, et al. Investigation of female survival benefit in metastatic melanoma. British journal of cancer. 1999;80(12):2025-33.
Rogers LC, Armstrong DG, Boulton AJ, Freemont AJ, Malik RA. Malignant melanoma misdiagnosed as a diabetic foot ulcer. Diabetes care. 2007;30(2):444-5.
Gregson C, Allain T. Amelanotic malignant melanoma disguised as a diabetic foot ulcer. Diabetic Medicine. 2004;21(8):924-7.
Kong M-F, Jogia R, Jackson S, Quinn M, McNally P, Davies M. Malignant melanoma presenting as a foot ulcer. The Lancet. 2005;366(9498):1750.
Tadiparthi S, Panchani S, Iqbal A. Biopsy for malignant melanoma–are we following the guidelines? The Annals of The Royal College of Surgeons of England. 2008;90(4):322-5.
Fortin PT, Freiberg AA, Rees R, Sondak VK, Johnson TM. Malignant melanoma of the foot and ankle. The Journal of bone and joint surgery American volume. 1995;77(9):1396-403.
Siegel R. NaiShadham d, Jemal a. Cancer statistics, 2012. CA Cancer j Clin. 2013;63(1):11-30.
Sevencan NO, Cakmakliogullari EK, Ozkan AE, Kayhan B. An unusual location of squamous cell carcinoma and a rare cutaneous infection caused by serratia marcescens on the tumoral tissue: A case report. Medicine. 2018;97(42).
Cummins DL, Cummins JM, Pantle H, Silverman MA, Leonard AL, Chanmugam A, editors. Cutaneous malignant melanoma. Mayo clinic proceedings; 2006: Elsevier.
John KJ, Hayes Jr D, Green DR, Dickerson J. Malignant melanoma of the foot and ankle. Clinics in podiatric medicine and surgery. 2000;17(2):347-60, vi.
Adams BE, Peng PD, Williams ML. Melanoma of the Foot Is Associated With Advanced Disease and Poorer Survival. The Journal of Foot and Ankle Surgery. 2018;57(1):52-5.
Balch C, Soong S, Shaw H, Maddox W, Urist M, McCarthy W, et al. Changing trends in the clinical and pathologic features of melanoma. Cutaneous melanoma. 1992:40-5.
Soudry E, Gutman H, Feinmesser M, Gutman R, Schachter J. "Gloves‐and‐Socks" Melanoma: Does Histology Make a Difference? Dermatologic surgery. 2008;34(10):1372-8.
Minagawa A, Omodaka T, Okuyama R. Melanomas and mechanical stress points on the plantar surface of the foot. New England Journal of Medicine. 2016;374(24):2404-6.