Francis Maya A, Shaikh Rahila, Inban Pugazhendi, Akuma Ogbonnaya, Intsiful Tarsha A, Akuma Chinaza M, Lat Aung Lynn Lat, Chukwuedozie Vivian C, Francis Sandra, Sukhoroslov Mikhail
Internal Medicine, Windsor University School of Medicine, Cayon, KNA.
Dermatology/Internal Medicine, Saba University School of Medicine, The Bottom, BES.
Cureus. 2023 Sep 17;15(9):e45425. doi: 10.7759/cureus.45425. eCollection 2023 Sep.
Scalp melanoma is a rare and aggressive form of skin cancer. Its occurrence in the elderly population poses unique challenges due to factors such as delayed diagnosis and comorbidities. We present a case of extensive scalp melanoma in an elderly female to highlight the clinical presentation, diagnostic process, treatment modalities, and outcomes. Biopsy and histopathological analysis showed the presence of dysplastic nevi arising in pigmented melanocytic nevi, with uncertain pagetoid spread of atypical melanocytes. The management involved complete excision with safety margins and immunotherapy based on melanoma guidelines. This case underscores the importance of early detection and tailored treatment strategies in managing melanoma in elderly patients.
头皮黑色素瘤是一种罕见且侵袭性强的皮肤癌形式。由于诊断延迟和合并症等因素，其在老年人群中的发生带来了独特的挑战。我们报告一例老年女性广泛头皮黑色素瘤病例，以突出临床表现、诊断过程、治疗方式及结果。活检和组织病理学分析显示，色素性黑素细胞痣中出现发育异常痣，非典型黑素细胞呈不确定的派杰样播散。治疗包括按照黑色素瘤诊疗指南进行安全切缘的完整切除及免疫治疗。该病例强调了老年患者黑色素瘤管理中早期检测和个性化治疗策略的重要性。
