How is lentigo maligna diagnosis?
Lentigo maligna was diagnosed with a 4 mm punch biopsy on the left cheek. Close examination under the Wood’s lamp showed that the small biopsy was within a large brown patch with color variegation and ill-defined margin, and multiple scattered brown macules.
How serious is lentigo maligna melanoma?
Lentigo maligna is not dangerous; it only becomes potentially life threatening if an invasive melanoma develops within it. Long term follow-up involves reviewing the treated area and full skin examination to identify new lesions of concern. If the lesion was invasive, regional lymph nodes should also be examined.
What is the difference between lentigo and lentigo maligna?
Lentigo maligna melanoma is a type of invasive skin cancer. It develops from lentigo maligna, which is sometimes called Hutchinson’s melanotic freckle. Lentigo maligna stays on the outer surface of the skin. When it starts growing beneath the skin’s surface, it becomes lentigo maligna melanoma.
Does lentigo maligna melanoma spread?
Similar to melanoma in situ, lentigo maligna has not spread and is only in the top layer of skin. Both melanoma in situ and lentigo maligna are cured with surgery. However if not treated with appropriate surgery, they can develop into an invasive cancer.
What is the treatment for lentigo maligna?
Background Surgical excision is the treatment of choice for lentigo maligna (LM), or melanoma in situ. Topical application of imiquimod, a local immune response modifier, is a novel therapeutic approach that leads to LM tumor clearance.
Should lentigo maligna be removed?
Lentigo maligna can be cured with surgery. However, if the whole area is not removed completely with the appropriate surgery, some may develop into an invasive melanoma. It is therefore important to have it removed with a rim of normal skin (an adequate surgical margin).
How long does it take for melanoma to spread?
Melanoma can grow very quickly. It can become life-threatening in as little as six weeks and, if untreated, it can spread to other parts of the body. Melanoma can appear on skin not normally exposed to the sun.
What is the most aggressive form of melanoma?
Nodular melanoma – This is the most aggressive form of cutaneous melanoma. It typically appears as a dark bump – usually black, but lesions may also appear in other colors including colorless skin tones. This type of melanoma may develop where a mole did not previously exist.
What is the difference between lentigo maligna and melanoma in situ?
Lentigo maligna is a type of melanoma in situ. It is a slow growing lesion that appears in areas of skin that has a lot of sun exposure such as the face or upper body. Lentigo maligna grows slowly and can take years to develop. Similar to melanoma in situ, lentigo maligna is only in the top layer of skin.
Does lentigo disappear?
The spots can go away in time. Solar lentigo is caused by exposure to ultraviolet radiation from the sun. This type is common in people over age 40, but younger people can get it, too.
Is lentigo a freckle?
The main difference between a freckle and a solar lentigo is that in a freckle only the amount of pigment being produced by melanocytes is increased, rather than the actual number of cells. Alternative names: Liver spot, old age spot, senile freckle, sun spots (singular: lentigo).
How quickly does acral lentiginous melanoma spread?
The duration of time starting from when these patients first noticed the pigmented lesions up to when they first visited the clinic ranged from 5 to 30 years (average duration: 13.3 years).