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Melanoma on Palms, Soles and Subungual Melanoma Acral Melanoma

  • Guido Massi
  • Philip E. Leboit

Abstract

Melanomas on acral skin seem to be of two types. Those on the sun damaged dorsal surfaces of the hands (and to a lesser extent, the feet) include a number of conventional melanomas. A more specific type is composed of melanomas on the volar surfaces of the acra, by which we mean the hairless areas of the hands and feet (mostly the palms and soles) and nail beds. In the majority of cases, these melanomas have a distinct lentiginous pattern of growth reminiscent of the lentigo maligna pattern of melanoma and of those of mucous membranes. This type of melanoma must be distinguished from melanocytic nevi found on the same sites. Melanomas of the hands and feet, and of nail beds have different epidemiology and genetic features than conventional melanoma. Because of special considerations, we describe melanoma on the nail apparatus separately.

Keywords

Nail Plate Melanocytic Nevus Superficial Spreading Nail Matrix Acral Lentiginous Melanoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2004

Authors and Affiliations

  • Guido Massi
    • 1
  • Philip E. Leboit
    • 2
  1. 1.Department of PathologyCatholic University Medical SchoolRomeItaly
  2. 2.University of CaliforniaSan FranciscoUSA

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