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KMID : 0363219740120040241
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Korean Journal of Dermatology
1974 Volume.12 No. 4 p.241 ~ p.244
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A Case of Malignant Melanoma
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Abstract
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Malignant melanoma is rare in Asian and one of the poorer prognostic disease. Approximately 25% of all patients with malignant melanoma has been occured at the site of pigmented lesion. Primary location of melanoma on palm is known to be 1.3% which is rater than that of the other site.
This report is a case of 65 year old man who has a walnut sized bluish-black tumor (4 X 5 X 3 cm) on left palm which developed from the brownish black spot. According . to the patients statement, the spot was started since childhood and gradually increase in size since last.5 years. The mass, however, was rapidly growing with superficial ulceration since 3 months previously. No metastatic skin lesion was found around the tumor mass and left upper extremity.
There were no palpable lymphnodes in the left axillary and epitrochlear area. Skin biopsy specimen showed findings consistent with malignant melanoma and cell composition was predominant in the fusiform cell than the cuboidal cell, and axillary lymphnode showed only dermatopathic changes.
Bone X-ray of left hand and chest X-ray showed no abnormal findings and metastatic sign. B-E(below elbow) amputation on left forearm was performed. During postoperative 6 months, he has had good general health and no metastatic signs.
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