[Lentigo maligna and lentigo maligna melanoma of the cheeks. Analysis of different growth patterns via photographic records].
The dynamics of tumor growth of malignant melanoma may be reconstructed by evaluation of suitable private photographs of the patient. Photohistorical investigations can greatly aid in following the course of development of malignant melanomas and show impressively the slow and protracted growth of initial melanomas. We report on a 90-year-old patient with an in situ melanoma (lentigo maligna) and an invasive lentigo maligna melanoma in the facial region. We were able to obtain complete series of photographs from this patient, which show the different development of the two melanomas over a period of more than 30 years. The first tumor to appear developed very slowly while the later one showed invasive growth after a short time period. Development of multiple primary melanomas is a well recognized phenomenon. The presence of multiple primary melanomas does not appear to be a negative prognostic factor. However, patients with primary melanoma should be made aware of increased risk of development another primary and physicians should do careful total body skin examinations for new primary melanomas as well as for recurrences of the original melanoma.
Stuiber
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Hautklinik am Klinikum Nürnberg, Prof.-Ernst-Nathan-Strasse 1, 90419 Nürnberg.
Paul
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D000369:Aged, 80 and over; D002610:Cheek / Q000473:pathology*; D046169:Dermoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D018327:Hutchinson's Melanotic Freckle / Q000145:classification* / Q000473:pathology*; D009378:Neoplasms, Multiple Primary / Q000473:pathology*; D010781:Photography / Q000379:methods*; D012878:Skin Neoplasms / Q000473:pathology*