ACRAL MELANOMA
A melanoma that occurs on the digits, hands, or feet has been called an acral melanoma. It is the least common of the major types, but the most common in darker-skinned patients. The term acral lentiginous melanoma is a subtype of acral melanoma in which atypical melanocytes proliferate along the dermal epidermal junction in a diffuse lentiginous fashion.
- A study of 123 patients with melanoma of the sole found a higher incidence in the front and the rear of the foot compared to the mid foot and arch. The authors postulated that mechanical stress may increase the risk of formation of melanomas on the plantar surface.
See also melanoma of the nail.
Diagnosis
In general, the ABCDE criteria for pigmented lesions applies to the acral areas as well. Various dermascopic criteria have been described.
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