title: Malignant melanoma presenting as a nonhealing heel ulceration.
abstract: Malignant melanoma is responsible for more than three-fourths of skin cancer deaths in the United States. Melanomas presenting on acral surfaces are frequently misdiagnosed initially, leading to progression of disease and worse prognosis. This case is presented to reinforce the significance of careful physical examination and early biopsy of atypical ulcerations of the foot.
authors.forename: Jacqueline Nicole
authors.initials: JN
authors.lastname: Fussell
authors.forename: David Lee
authors.initials: DL
authors.lastname: Troutman
authors.forename: Eric
authors.initials: E
authors.lastname: Hossler
authors.forename: Shilpa
authors.initials: S
authors.lastname: Agarwal
mesh_terms: D000368:Aged; D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D006365:Heel / Q000473:pathology*; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008545:Melanoma / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D018570:Risk Assessment; D021701:Sentinel Lymph Node Biopsy / Q000379:methods*; D012878:Skin Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D012883:Skin Ulcer / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D000096142:Cutaneous Malignant Melanoma