Nowicka Aleksandra, Rowland Payne Christopher
Dermatology, Nicolaus Copernicus University, Bydgoszcz, POL.
Dermatology, Private Practice, London, GBR.
Cureus. 2023 Jan 8;15(1):e33511. doi: 10.7759/cureus.33511. eCollection 2023 Jan.
When it comes to skin diseases, melanomas are considered the most lethal. Triple synchronous primary melanomas (SPMs) are rare. Here we have reported a case of a 77-year-old white male with three SPMs. The patient presented with a nodular melanoma in the upper left back; total skin examination (TSE) revealed additional melanomas in the right retroauricular region and on the left arm. The patient was unaware of these two additional melanomas that were only found because of the routine TSE, and the index lesion focused examination would have missed both. We advocate that TSE should be practised routinely by all dermatologists for all new patients, and also, from time to time in patients attending long-term follow-up appointments. Early diagnosis means simpler treatments and more favourable outcomes.
说到皮肤疾病，黑色素瘤被认为是最致命的。三重同步原发性黑色素瘤（SPM）很罕见。在此我们报告一例77岁白人男性患有三重SPM的病例。患者左上背部出现结节性黑色素瘤；全面皮肤检查（TSE）发现右耳后区域和左臂还有黑色素瘤。患者并不知道这另外两处黑色素瘤，只是由于常规TSE才被发现，而仅对索引病变进行重点检查会遗漏这两处。我们主张所有皮肤科医生应对所有新患者常规进行TSE，并且对于长期随访的患者也应不时进行。早期诊断意味着治疗更简单且预后更有利。
