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 Printable version |
Metastatic malignant melanoma of the leg from a warty acral amelanotic malignant melanoma |
European Journal of Dermatology. Volume 11, Number 6, 591-2, November - December 2001, Votre diagnostic !
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 Free Article
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Author(s) : A. VIRGILI, M. CORAZZA |
Summary : A 71-year-old woman presented with an asymptomatic, enlarging, bluish-purple, ecchimotic, oedematous area she had had for two months on her left leg. This dermatitis completely covered all the two lower thirds of her leg. At the same time groups of sparse warty or smooth red-wine papules were observed on the skin, especially on the medial malleolus (Fig. 1).
No other cutaneous or mucosal lesion was observed except for a risen wart-like lesion she had had for 7 years on the plantar side of her left foot. It felt hard on palpation and showed a hyperkeratotic cauliflower-greyish surface with haemorragic pin point areas (Fig. 2). In spite of numerous applications of cryotherapy she referred having had in the past and a surgical excision (without histological investigation), the formation had progressively enlarged until it had reached the present 3 cm diameter. A punch biopsy specimen of a papule of the leg (Fig. 3) and successively of the warty plantar lesion (Fig. 4) were performed. |
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