• Aust Fam Physician · Jul 2009

    Review

    Cutaneous melanoma--atypical variants and presentations.

    • Alex Chamberlain and Jonathan Ng.
    • Victorian Melanoma Service, The Alfred Hospital, Prahran, Victoria. alex_chamberlain@hotmail.com
    • Aust Fam Physician. 2009 Jul 1; 38 (7): 476-82.

    BackgroundThe incidence of melanoma continues to rise in Australia. General practitioners treat the majority of skin cancers affecting Australians. In the past decade, there has been improved uptake of dermoscopy by GPs who realise its value in the assessment of pigmented and nonpigmented lesions.ObjectiveThis article outlines those variants or presentations of melanoma that create diagnostic difficulty for all clinicians. Practice tips regarding clinical features or useful dermoscopic clues are included.DiscussionA clinical overview of lentigo maligna, acral lentiginous and subungual melanoma, nodular melanoma, desmoplastic melanoma, verrucous melanoma and hypomelanotic melanoma is presented. Dermoscopy has become a vital diagnostic aid in the assessment of all skin lesions. Its value in the diagnosis of melanoma is highlighted where relevant. Expert dermatopathology assessment is equally as crucial in reaching a correct diagnosis, especially for some of these atypical variants.

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