Bengoechea-Beeby M P, Velasco-Osés A, Mouriño Fernández F, Reguilón-Rivero M C, Remón-Garijo L, Casado-Pérez C
Department of Plastic Surgery, Hospital General Yagüe, Burgos, Spain.
Cancer. 1993 Sep 15;72(6):1909-13. doi: 10.1002/1097-0142(19930915)72:6<1909::aid-cncr2820720619>3.0.co;2-s.
A case is reported of a patient with a lentiginous acral melanoma of the heel that was excised and recurred 3 years later at the margin of the previous scar. After another 3 years, a group of five small lesions appeared in the thigh that were considered to be junctional and epidermotropic metastases. The authors question the current histologic criteria for differentiating junctional and epidermotropic metastases of previous melanomas from multiple primary melanomas. It is concluded that the clinical history is of primary importance in reaching a correct diagnosis; histologic studies are not sufficient.
报告了1例足跟部雀斑样肢端黑色素瘤患者，该肿瘤被切除，3年后在先前瘢痕边缘复发。又过了3年，大腿出现5个小病灶，被认为是交界性和向表皮性转移灶。作者对目前用于区分既往黑色素瘤的交界性和向表皮性转移灶与多发性原发性黑色素瘤的组织学标准提出质疑。得出的结论是，临床病史对于做出正确诊断至关重要；组织学研究并不充分。
