Epidermotropic metastatic melanoma are the current histologic criteria adequate to differentiate primary from metastatic melanoma?

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...

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Bibliographic Details
Published in:Cancer 1993-09, Vol.72 (6), p.1909-1913
Main Authors: Bengoechea‐Beeby, Michael P., Velasco‐Osés, Angel, Mouriño Fernández, F., Carmen Reguilón‐Rivero, M., Remón‐Garijo, Loto, Casado‐Pérez, César
Format: Article
Language:English
Subjects:
Biological and medical sciences
Dermatology
epidermotropic metastasis
Humans
Male
malignant melanoma
Medical sciences
Melanoma - classification
Melanoma - pathology
Melanoma - secondary
Middle Aged
multiple primary melanoma
Neoplasms, Multiple Primary
Skin Neoplasms - classification
Skin Neoplasms - pathology
Skin Neoplasms - secondary
Tumors of the skin and soft tissue. Premalignant lesions
Citations: Items that this one cites
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Summary: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.
ISSN:0008-543X
1097-0142
DOI:10.1002/1097-0142(19930915)72:6<1909::AID-CNCR2820720619>3.0.CO;2-S