Herman K L, Shrager J D
Hahnemann University School of Medicine, Department of Medicine, Philadelphia, Pennsylvania 19102-1192.
Cutis. 1989 Jul;44(1):45-8.
It has been estimated that 2 percent of all melanomas are clinically amelanotic, with amelanotic lentigo maligna melanoma being an even rarer presentation. These neoplasms have presented clinically as neurodermatitis, eczema, and erythema. Given the lack of clinical markers and subsequent delay in diagnosis of these lesions, they are potentially more dangerous than pigmented lentigo maligna melanomas. We report a case of an amelanotic lentigo maligna melanoma presenting as an ill-defined edematous area on the left cheek of an elderly woman.
据估计,所有黑色素瘤中2%在临床上为无色素性,其中无色素性恶性雀斑样痣黑色素瘤的表现更为罕见。这些肿瘤在临床上表现为神经性皮炎、湿疹和红斑。鉴于这些病变缺乏临床标志物且诊断延迟,它们可能比色素性恶性雀斑样痣黑色素瘤更危险。我们报告一例无色素性恶性雀斑样痣黑色素瘤,表现为一位老年女性左脸颊上边界不清的水肿区域。