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Epidermotropic metastatic melanoma are the current histologic criteria adequate to differentiate primary from metastatic melanoma?
Author(s) -
BengoecheaBeeby Michael P.,
VelascoOsés Angel,
Mouriño Fernández F.,
Carmen ReguilónRivero M.,
RemónGarijo Loto,
CasadoPérez César
Publication year - 1993
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19930915)72:6<1909::aid-cncr2820720619>3.0.co;2-s
Subject(s) - medicine , melanoma , metastatic melanoma , thigh , heel , metastasis , pathology , acral lentiginous melanoma , primary tumor , dermatology , cancer , surgery , anatomy , cancer research
A case is reported of a patient with a lentiginous acral melanoma of the heel that was excised and recurred 3 years later at the margin of the previous scar. After another 3 years, a group of five small lesions appeared in the thigh that were considered to be junctional and epidermotropic metastases. The authors question the current histologic criteria for differentiating junctional and epidermotropic metastases of previous melanomas from multiple primary melanomas. It is concluded that the clinical history is of primary importance in reaching a correct diagnosis; histologic studies are not sufficient.