Jagtap Sunil Vitthalrao, Khoja Shoaib, Billawaria Sonam, Chou Teh Shin Richard, Jagtap Swati Sunil
Department of Pathology, Surgery, Physiology, Krishna Institute of Medical Sciences Karad, Maharashtra, India.
J Cutan Aesthet Surg. 2021 Oct-Dec;14(4):426-432. doi: 10.4103/JCAS.JCAS_183_20.
Melanoma is a malignant tumor that is derived from melanocytes of the skin and other sites. Melanoma accounts for 1% to 3% of all malignancies and 1% to 2% of all cancer deaths worldwide. We are presenting a case of a 42-year-old female who presented to the surgery department with a growth over the right heel since 18 months, with a history of trauma to the site. The lesion showed rapid progression with a large mass and secondary skin ulceration and sloughing. A PET scan showed an enhancing lesion on the right heel measuring 11 mm in thickness. There was no evidence of any systemic organ or any lymph node metastasis. Surgical excision and reconstruction on the part of the heel by a local flap with sural graft with split-thickness skin grafting was done. The excised growth was sent for histopathology. The histopathological diagnosis of nodular melanoma (NM) of the heel was given. We are presenting this case for its clinical, histopathological, and surgical management.
黑色素瘤是一种源自皮肤及其他部位黑素细胞的恶性肿瘤。黑色素瘤占全球所有恶性肿瘤的1%至3%，占所有癌症死亡病例的1%至2%。我们报告一例42岁女性病例，该患者自18个月前起右足跟部出现肿物，有该部位外伤史。病变迅速进展，形成巨大肿块，并继发皮肤溃疡和坏死。PET扫描显示右足跟部有一强化病灶，厚度为11毫米。未发现任何全身器官或淋巴结转移的证据。通过局部皮瓣联合腓肠肌皮瓣及中厚皮片移植对足跟部进行了手术切除和重建。切除的肿物送去做组织病理学检查。组织病理学诊断为足跟部结节性黑色素瘤（NM）。我们展示该病例是为了介绍其临床、组织病理学及手术治疗情况。
