Nygård Kristensen Rasmus, Holmgaard Rikke
Plastikkirurgisk Afdeling P, Roskilde Sygehus, Køgevej 7-13, 4000 Roskilde, Denmark.
Ugeskr Laeger. 2012 Dec 10;174(50):3177-8.
Acral lentiginous melanomas (ALM) are often diagnosed at advanced stages, which is associated with a very poor prognosis. ALM can be mistaken for a subungual haematoma when located on the nail unit or e.g. as a foot ulcer, or for a bacterial/fungal infection, verruca, eczema when located on the skin. In this case report, we present a case of ALM in which belated diagnosis led to a fatal outcome. This case illustrates that non-healing wounds may represent malignant tumours, even in younger patients. Early biopsy and correct diagnosis is paramount for optimal treatment and prognosis.
肢端雀斑样痣黑色素瘤（ALM）通常在晚期才被诊断出来，这与非常差的预后相关。当位于甲单位时，ALM可能被误诊为甲下血肿，或者例如当位于皮肤上时被误诊为足部溃疡、细菌性/真菌性感染、疣、湿疹。在本病例报告中，我们展示了一例因诊断延迟而导致致命后果的ALM病例。该病例表明，即使在年轻患者中，不愈合的伤口也可能代表恶性肿瘤。早期活检和正确诊断对于最佳治疗和预后至关重要。
