Infante CMC, Neyra BRM, Jaén IL

Language: Spanish
References: 10
Page: 126-133
PDF size: 858.28 Kb.

ABSTRACT

The case report of a 42 years, black skin patient is described, he attended the Peripheral Tumors Surgery Service in Conrado Benítez García Teaching Provincial Cancer Hospital in Santiago de Cuba, due to a hyperpigmented dark lesion in the left side of the scrotum, next to the raphe region, of approximately 4 mm and irregular borders that didn't elevate the skin or hurted. An excision of the lesion was carried out and the histological and pathological study revealed the existence of a melanoma, without ulceration or satelitosis, with radial growth, reason why there was a deep examination of the operated area in search of margins without affectation and the bilateral groin lymph nodes were dried up in a prophylactic way. Then chemotherapy and interferon injections were indicated. The patient maintained a favorable clinical course until a year and a half after the surgery.

REFERENCES

1. European Society for Medical Oncology. Melanoma: A guide for patients. Lugano: ESMO; 2017 [citado 20/04/2019]. Disponible en: https://www.esmo.org/for-patients/personalised-medicine-explained/Melanoma

2. Schaffer J, Rigel D, Kopf A, Bolognia J. Cutaneous melanoma: Past, present, and future. J Am Acad Dermatol. 2004; 51:65-69.

3. Morton D, Thompson J, Cochran A, Mozzillo N, Elashoff R, Essner R, et al. Sentinel-Node Biopsy or Nodal Observation in Melanoma. N Engl J Med. 2006; 355:1307-17.

4. Gershenwald JE, Scolyer RA. Melanoma Staging: American Joint Committee on Cancer (AJCC) 8th Edition and Beyond. Ann Surg Oncol. 2018;25:2105–10.

5. Chávez-Valera PL, Matos-Figueredo FN, Cortes-Ros OM. Melanocarcinoma lentiginoso acral. Presentación de un caso. Dermatol Peru. 2016;26(3): 170-3.

6. Darmawan CC, Jo G, Montenegro SE, Kwak Y, Cheol L, Kwang HC, et al. Early detection of acral melanoma: A review of clinical, dermoscopic, histopathologic, and molecular characteristics. J Am Acad Dermatol. 2019;81(3):805-12.

7. Li H, Liu X. Acral lentiginous melanoma. Clin Oncol. 2018; 3:1548.

8. Lee KT, Kim EJ, Lee DY, Kim JH, Jang KT, Mun GH. Surgical excision margin for primary acral melanoma. J Surg Oncol. 2016;114:933–9.

9. Nunes LF, Mendes GLQ, Koifman RJ. Subungual melanoma: A retrospective cohort of 157 cases from Brazilian National Cancer Institute. J Surg Oncol. 2018;118(7):1142-9.

10. De Anda-Juárez MC, Martínez-Velasco MA, Fonte-Ávalos V, Toussaint-Caire S, Domínguez-Cherit J. Conservative surgical management of in situ subungual melanoma: long-term follow-up*. An Bras Dermatol. 2016;91(6):846-8.