Yeşil Sena, Demir Tevfik, Akinci Baris, Pabuccuoglu Ugur, Ilknur Turna, Saklamaz Ali
Department of Endocrinology and Metabolism, School of Medicine, Dokuz Eylul University, Izmir, Turkey.
J Diabetes Complications. 2007 Sep-Oct;21(5):335-7. doi: 10.1016/j.jdiacomp.2006.05.004.
Amelanotic melanoma often leads to delayed clinical diagnosis because of its wide range of clinical appearances and lack of pigmentation. Misdiagnosis of amelanotic melanoma is also common, particularly when it is located at the foot. We report here a 71-year-old male patient with a 17-year history of type 2 diabetes mellitus who presented with a small ulcer under his fifth metatarsal head, which was previously misdiagnosed as a diabetic foot ulcer. The patient was treated with local wound care and systemic antibiotics without any improvement of the ulcer. Further investigation of the patient in our clinic revealed plantar amelanotic melanoma.
无色素性黑色素瘤由于其广泛的临床表现和缺乏色素沉着，常常导致临床诊断延迟。无色素性黑色素瘤的误诊也很常见，尤其是当它位于足部时。我们在此报告一名71岁男性患者，有2型糖尿病病史17年，其第五跖骨头下出现一个小溃疡，此前被误诊为糖尿病足溃疡。该患者接受了局部伤口护理和全身抗生素治疗，但溃疡没有任何改善。在我们诊所对该患者进行进一步检查后发现是足底无色素性黑色素瘤。
