Brown Vincent, Reisler Tom, Laks Jake
Department of Surgery, The Brody School of Medicine, East Carolina University, Greenville, NC.
Division of Plastic and Reconstructive Surgery, Department of Surgery, The Brody School of Medicine, East Carolina University, Greenville, NC.
Eplasty. 2019 Apr 9;19:e10. eCollection 2019.
Melanoma incidence is increasing and is associated with the majority of skin cancer-related deaths. Most melanomas have an indolent growth and are difficult to diagnose, attributing to their increased risk of metastatic disease on initial presentation. Nodular melanoma accounts for roughly 15% to 30% of all the melanomas, making it the second most common melanoma. This case describes nodular melanoma, the atypical presentation, the diagnosis, and the treatment. This case is of special interest due to the rarity of the disease and this particular patient's disease presentation and management. Unfortunately, the patient refused further surgery, so definitive treatment was not achieved.
黑色素瘤的发病率正在上升，且与大多数皮肤癌相关死亡病例有关。大多数黑色素瘤生长缓慢，难以诊断，这是因为它们在初次出现时发生转移性疾病的风险增加。结节性黑色素瘤约占所有黑色素瘤的15%至30%，是第二常见的黑色素瘤。本病例描述了结节性黑色素瘤、非典型表现、诊断及治疗。由于该疾病的罕见性以及该特定患者的疾病表现和处理方式，本病例具有特殊意义。不幸的是，患者拒绝进一步手术，因此未能实现确定性治疗。
