Acral lentiginous melanoma

Acral lentiginous melanoma
SpecialtyOncology, dermatology Edit this on Wikidata
SymptomsAreas of dark pigmentation [1]
CausesMalignant melanocytes[2][3]
Diagnostic methodBiopsy[4]
TreatmentBiologic immunotherapy agents[5]
FrequencyMales = Females[6]

Acral lentiginous melanoma is a type of skin cancer.[6] It typically begins as a uniform brownish mark before becoming darker and wider with a blurred irregular edge, most frequently seen in the foot of a person with darker skin.[6] It may become bumpy and ulcerate.[6] Just under the nail it typically appears as dark longitudinal streaks, and it may spread.[7]

Melanoma is a group of serious skin cancers that arise from pigment cells (melanocytes); acral lentiginous melanoma is a kind of lentiginous[8] skin melanoma.[6] Acral lentiginous melanoma is the most common subtype in people with darker skins and is rare in people with lighter skin types.[7] It is not caused by exposure to sunlight or UV radiation, and wearing sunscreen does not protect against it. Acral lentiginous melanoma is commonly found on the palms, soles, under the nails, and in the oral mucosa. It occurs on non-hair-bearing surfaces of the body, which have not necessarily been exposed to sunlight. It is also found on mucous membranes.[9]

The absolute incidence of ALM is the same for people of all skin colors, and has not changed significantly for decades.[9] However, because rates of other melanomas are low in non-white populations, ALM is the most common form of melanoma diagnosed amongst Asian and sub-Saharan African ethnic groups.[10] The average age at diagnosis is between sixty and seventy years.[11]

Males and females are affected equally.[6]

  1. ^ Cite error: The named reference good was invoked but never defined (see the help page).
  2. ^ Cite error: The named reference mel was invoked but never defined (see the help page).
  3. ^ Cite error: The named reference pili was invoked but never defined (see the help page).
  4. ^ Cite error: The named reference punc was invoked but never defined (see the help page).
  5. ^ Cite error: The named reference mav was invoked but never defined (see the help page).
  6. ^ a b c d e f James WD, Elston D, Treat JR, Rosenbach MA, Neuhaus I (2020). "30. Melanocytic nevi and neoplasms". Andrews' Diseases of the Skin: Clinical Dermatology (13th ed.). Edinburgh: Elsevier. pp. 696–697. ISBN 978-0-323-54753-6.
  7. ^ a b Hall KH, Rapini RP (2024). "Acral Lentiginous Melanoma". StatPearls. StatPearls Publishing. PMID 32644539.
  8. ^ Phan A, Touzet S, Dalle S, Ronger-Savlé S, Balme B, Thomas L (August 2007). "Acral lentiginous melanoma: histopathological prognostic features of 121 cases". British Journal of Dermatology. 157 (2): 311–318. doi:10.1111/j.1365-2133.2007.08031.x. PMID 17596173. S2CID 40412082.
  9. ^ a b LeBoit PE (2006). Pathology and Genetics of Skin Tumours. IARC. ISBN 978-92-832-2414-3.
  10. ^ Farage MA (2010-01-22). Textbook of Aging Skin. Springer Science & Business Media. ISBN 978-3-540-89655-5. Archived from the original on 2023-01-11. Retrieved 2020-12-06.
  11. ^ Swartz MH (2014-01-07). Textbook of Physical Diagnosis: History and Examination. Elsevier Health Sciences. ISBN 978-0-323-22507-6. Archived from the original on 2023-01-11. Retrieved 2020-12-06.