Anwar, Sumadi Lukman and Dwianingsih, Ery Kus and Chandra, Tania Maharani and Wijayanti, Arini Rizky and Widhanto, Haryo and Ndraha Khairindra, Adryan Kalya and Hardiyanto, Herjuna and Suwardjo, Suwardjo (2021) Vigilance to misleading information is required to avoid delayed diagnosis: Case series of acral melanomas. Annals of Medicine and Surgery, 65. ISSN 20490801
Full text not available from this repository. (Request a copy)Abstract
Introduction: Melanoma is considered a rare cancer among Asians with a wide range of mucocutaneous manifestations. Failure to recognize a lesion as melanoma at first presentation might delay surgery aimed at complete resection. Acral melanoma has been related with the highest rate of misdiagnosis (~30) causing further delayed diagnosis. Reliability of patient’ history taking in melanoma has not yet been systematically reported. Presented cases: Two patients visited our oncology clinic with pigmented lesions in their soles. A 66-year-old man disclosed it appeared since a year ago after accidently hitting a stone while farming. Physical examination showed a black-brown irregular 100 × 80 mm lesion covering the distal third of the right sole with ulceration in the central lesion. The second patient was a geriatric woman with a black-purple 25 × 27 mm lesion with slight protrusion and ulceration in the central, irregular border, and partial hyperkeratosis. She explained the lesion emerged two years ago after she accidently stepped on a nail. Both patients were then diagnosed with acral melanomas and were treated with wide-excision, closure with skin grafting, and inguinal dissection. Discussion: Both patients reported history of traumas in lesions later confirmed as acral melanomas. Although history taking can provide up to 80 of the information for accurate diagnosis, in ambivalent cases, careful anamnesis, clinical examination, and biopsy are required to confirm diagnosis of acral melanoma. Early disease identification to establish definitive diagnosis of cancer is generally associated with better clinical outcomes. In suspected cases, vigilance toward misleading information in history taking is required. © 2021
Item Type: | Article |
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Additional Information: | Cited by: 0; All Open Access, Gold Open Access, Green Open Access |
Uncontrolled Keywords: | acral melanoma; adjuvant radiotherapy; aged; alertness; Article; biopsy; Breslow thickness; cancer cell; case report; cell proliferation; clinical article; diagnostic error; diagnostic test accuracy study; echography; epidermis; extranodal extension; female; foot; geriatrics; histopathology; human; human tissue; hyperkeratosis; injury; lymph node dissection; male; melanocyte; melanoma; physical examination; skin transplantation; soft tissue; superficial cancer; ulcer; wound care; wound closure; wound healing |
Subjects: | R Medicine > RD Surgical Divisions |
Divisions: | Faculty of Medicine, Public Health and Nursing > Public Health and Nutrition |
Depositing User: | Sri JUNANDI |
Date Deposited: | 25 Sep 2024 01:11 |
Last Modified: | 25 Sep 2024 01:11 |
URI: | https://ir.lib.ugm.ac.id/id/eprint/4692 |