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Acral Lentiginous Melanoma

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Melanoma

Part of the book series: Cancer Treatment and Research ((CTAR,volume 167))

Abstract

Acral lentiginous melanoma (ALM) is a rare subtype of melanoma mainly arising on the palms, soles, and nail beds. ALM is the most common subtype of melanoma found in patients of Asian or African descent and tends to more advanced at presentation due to delays in diagnosis. Surgical treatment is difficult owing to the complexity and functional importance of the hands and feet and reconstruction after resection is usually needed. The prognosis for patients with ALM depends on stage of disease and tends to be worse than with other subtypes of melanoma. Newer treatment modalities such as immunotherapies and targeted agents are being tested in patients with advanced ALM with some promising preliminary results.

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References

  1. Bradford PT, Goldstein AM, McMaster ML, Tucker MA (2009) Acral lentiginous melanoma: incidence and survival patterns in the United States, 1986–2005. Arch Dermatol 145:427–434. doi:10.1001/archdermatol.2008.609

    Article  PubMed  PubMed Central  Google Scholar 

  2. Piliang MP (2011) Acral lentiginous melanoma. Clin Lab Med 31:281–288. doi:10.1016/j.cll.2011.03.005

    Article  PubMed  Google Scholar 

  3. Zell JA et al (2008) Survival for patients with invasive cutaneous melanoma among ethnic groups: the effects of socioeconomic status and treatment. J Clin Oncol Official J Am Soc Clin Oncol 26:66–75. doi:10.1200/JCO.2007.12.3604

    Article  Google Scholar 

  4. Zebary A et al (2013) KIT, NRAS, BRAF and PTEN mutations in a sample of Swedish patients with acral lentiginous melanoma. J Dermatol Sci 72:284–289. doi:10.1016/j.jdermsci.2013.07.013

    Article  CAS  PubMed  Google Scholar 

  5. Nagore E, Pereda C, Botella-Estrada R, Requena C, Guillen C (2009) Acral lentiginous melanoma presents distinct clinical profile with high cancer susceptibility. Cancer Causes Control CCC 20:115–119. doi:10.1007/s10552-008-9221-y

    Article  PubMed  Google Scholar 

  6. Soon SL et al (2003) Acral lentiginous melanoma mimicking benign disease: the Emory experience. J Am Acad Dermatol 48:183–188. doi:10.1067/mjd.2003.63

    Article  PubMed  Google Scholar 

  7. Stubblefield J, Kelly B (2014) Melanoma in non-caucasian populations. Surg Clin North Am 94:1115–1126, ix. doi:10.1016/j.suc.2014.07.008

    Google Scholar 

  8. Durbec F, Martin L, Derancourt C, Grange F (2012) Melanoma of the hand and foot: epidemiological, prognostic and genetic features. A systematic review. Br J Dermatol 166:727–739. doi:10.1111/j.1365-2133.2011.10772.x

    Article  CAS  PubMed  Google Scholar 

  9. Perrin C, Michiels JF, Pisani A, Ortonne JP (1997) Anatomic distribution of melanocytes in normal nail unit: an immunohistochemical investigation. Am J Dermatopathol 19:462–467

    Article  CAS  PubMed  Google Scholar 

  10. Bastian BC (2014) The molecular pathology of melanoma: an integrated taxonomy of melanocytic neoplasia. Ann Rev Pathol 9:239–271. doi:10.1146/annurev-pathol-012513-104658

    Article  CAS  Google Scholar 

  11. Bennett DC (2008) How to make a melanoma: what do we know of the primary clonal events? Pigment Cell Melanoma Res 21:27–38. doi:10.1111/j.1755-148X.2007.00433.x

    Article  CAS  PubMed  Google Scholar 

  12. Egger ME et al (2012) Unique prognostic factors in acral lentiginous melanoma. Am J Surg 204:874–879; discussion 879–880. doi:10.1016/j.amjsurg.2012.05.013

    Google Scholar 

  13. Evans GR, Friedman J, Shenaq J, Mosser S (1997) Plantar flap reconstruction for acral lentiginous melanoma. Ann Surg Oncol 4:575–578

    Article  CAS  PubMed  Google Scholar 

  14. Savarese I et al (2014) Acral lentiginous melanoma treated with topical imiquimod cream: possible cooperation between drug and tumour cells. Clin Exp Dermatol. doi:10.1111/ced.12469

    PubMed  Google Scholar 

  15. Sue GR, Hanlon A, Lazova R, Narayan D (2014) Use of imiquimod for residual acral melanoma. BMJ Case Report. doi:10.1136/bcr-2014-203826

    Google Scholar 

  16. Sureda N et al (2011) Conservative surgical management of subungual (matrix derived) melanoma: report of seven cases and literature review. Br J Dermatol 165:852–858. doi:10.1111/j.1365-2133.2011.10477.x

    Article  CAS  PubMed  Google Scholar 

  17. Goitz RJ, Westkaemper JG, Tomaino MM, Sotereanos DG (1997) Soft-tissue defects of the digits. Coverage considerations. Hand Clin 13:189–205

    CAS  PubMed  Google Scholar 

  18. Atasoy E, Ioakimidis E, Kasdan ML, Kutz JE, Kleinert HE (1970) Reconstruction of the amputated finger tip with a triangular volar flap. A new surgical procedure. J Bone Joint Surg 52:921–926

    Google Scholar 

  19. Curtis RM (1957) Cross-finger pedicle flap in hand surgery. Ann Surg 145:650–655

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Gokrem S, Tuncali D, Terzioglu A, Toksoy K, Aslan G (2007) The thin cross finger skin flap. J Hand Surg Eur 32:417–420. doi:10.1016/j.jhsb.2007.02.010

    Article  CAS  Google Scholar 

  21. Chen HC, Buchman MT, Wei FC (1999) Free flaps for soft tissue coverage in the hand and fingers. Hand Clin 15:541–554

    CAS  PubMed  Google Scholar 

  22. O’Neill PJ, Litts C (2004) Hand and forearm reconstruction after skin cancer ablation. Clin Plast Surg 31:113–119

    Article  PubMed  Google Scholar 

  23. Miller DM, Flaherty KT, Tsao H (2014) Current status and future directions of molecularly targeted therapies and immunotherapies for melanoma. Semin Cutan Med Surg 33:60–67

    Article  PubMed  Google Scholar 

  24. Naidoo J, Page DB, Wolchok JD (2014) Immune modulation for cancer therapy. Br J Cancer 111:2214–2219. doi:10.1038/bjc.2014.348

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Hodi FS et al (2013) Imatinib for melanomas harboring mutationally activated or amplified KIT arising on mucosal, acral, and chronically sun-damaged skin. J Clin Oncol Official J Am Soc Clin Oncol 31:3182–3190. doi:10.1200/JCO.2012.47.7836

    Article  CAS  Google Scholar 

  26. Minor DR et al (2012) Sunitinib therapy for melanoma patients with KIT mutations. Clin Cancer Res Official J Am Assoc Cancer Res 18:1457–1463. doi:10.1158/1078-0432.CCR-11-1987

    Article  CAS  Google Scholar 

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Correspondence to James S. Goydos .

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Goydos, J.S., Shoen, S.L. (2016). Acral Lentiginous Melanoma. In: Kaufman, H., Mehnert, J. (eds) Melanoma. Cancer Treatment and Research, vol 167. Springer, Cham. https://doi.org/10.1007/978-3-319-22539-5_14

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  • DOI: https://doi.org/10.1007/978-3-319-22539-5_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22538-8

  • Online ISBN: 978-3-319-22539-5

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