Case report, case study
Dermoscopic Features of Twin Melanomas of the Lower Leg: A Case Report
Daniela Ledić Drvar
; University Hospital Centre Zagreb, Department of Dermatology and Venereology, School of Medicine University of Zagreb, Zagreb, Croati
Magdalena Mata
; General Hospital Zadar, Department of Internal medicine and Dermatology, Zadar, Croatia
Ivana Ilić
; University Hospital Centre Zagreb, Department of Pathology and Cytology, Zagreb, Croatia
Ivana Manola
; Manola Polyclinic, Zagreb, Croatia
Ružica Jurakić Tončić
; University Hospital Centre Zagreb, Department of Dermatology and Venereology, School of Medicine University of Zagreb, Zagreb, Croati
Božo Krušlin
; “Sisters of Mercy Clinical” Hospital Centre, “Ljudevit Jurak” Department of Pathology and Cytology, Zagreb, Croatia and Department of Pathology, School of Medicine, University of Zagreb, Zagreb, Croatia
Abstract
Multiple primary malignancies, including melanoma, usually
present singly over time rather than simultaneously. Hovewer, approximatelly one third of the patients develop multiple primary melanomas.
We present a case of a 57-year-old woman, with two grossly suspicious,
unevenly pigmented lesions on her left lower leg measuring up to 8 and
11 mm. Dermoscopy of both lesions showed similar findings with complete asimmetry of colour and structure. More than four colours including milky red and accumulation of pigment at 1 o’clock were observed
in the smaller lesion. Dermoscopy of the largest lesion showed more
than 3 colours, milky-red areas, and a slight blue-white veil. Histopathology of both lesions revealed melanoma. Although uncommon, multiple
primary melanomas do appear. Careful dermoscopical evaluation of all
lesions is mandatory in order to not miss such cases
Keywords
melanoma, dermoscopy, primary, multiple
Hrčak ID:
281280
URI
Publication date:
16.7.2020.
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