title: Double skin tumors with an atypical clinical picture.
abstract: The authors present a rare case of double skin tumors: acral lentiginous melanoma and metatypical carcinoma. The tumors were manifested as gradually enlarging ulcerations on the leg and sole of the foot that did not respond to standard treatment. The skin biopsies showed advanced acral lentiginous melanoma on the sole and metatypical carcinoma of the lower leg. Soon after the diagnosis was made, the melanoma generalized. The article discusses the differential diagnosis of both leg ulcerations, correct diagnostic procedures, and characteristic features of both tumors that are important questions for general practitioners, dermatologists, and surgeons.
authors.affiliation: Department of Dermatovenereology, Medical Faculty of Palacký University, I.P. Pavlova 6, Olomouc 77520, Czech Republic. tichy.martin.jun@fnol.cz
authors.forename: Martin
authors.initials: M
authors.lastname: Tichý
authors.forename: Dagmar
authors.initials: D
authors.lastname: Ditrichová
authors.forename: Svìtlana
authors.initials: S
authors.lastname: Brychtová
authors.forename: Vlastislava
authors.initials: V
authors.lastname: Tichá
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Urbánek
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D016523:Foot Ulcer / Q000209:etiology; D006801:Humans; D007871:Leg Ulcer / Q000209:etiology*; D008297:Male; D008545:Melanoma / Q000150:complications / Q000175:diagnosis*; D009378:Neoplasms, Multiple Primary / Q000150:complications / Q000175:diagnosis*; D012878:Skin Neoplasms / Q000150:complications / Q000175:diagnosis*