Masanga Hospital, Masanga, Tonkolili District, Sierra Leone.
Masanga Medical Research Unit (MMRU), Masanga, Tonkolili District, Sierra Leone.
Am J Trop Med Hyg. 2022 Aug 22;107(4):912-915. doi: 10.4269/ajtmh.21-1273. Print 2022 Oct 12.
Malignant melanoma is rare in West Africa. Few cases of giant melanoma have been reported globally. We present a case of acral melanoma with giant local recurrence on the foot of a black-skinned woman from rural Sierra Leone, managed with below-knee amputation. Atypical, late presentation, poor access to diagnostics, and underreporting may contribute to underappreciation of melanoma as a healthcare problem in West Africa. This case highlights the need for improved cancer and skin health surveillance structures in West Africa-most importantly, increasing access to histopathology.
恶性黑色素瘤在西非较为罕见。全球范围内，巨型黑色素瘤的病例报告较少。我们报告了一例来自塞拉利昂农村地区的黑人女性足部肢端黑色素瘤伴巨型局部复发，经膝下截肢治疗。非典型、晚期表现、诊断获取困难和漏报可能导致对黑色素瘤作为西非医疗保健问题的重视不足。本病例强调了在西非改善癌症和皮肤健康监测结构的必要性，最重要的是增加获得组织病理学的机会。
