Malignant melanoma with preserved hairs: A snap shot could suggest the development from an acquired melanocytic nevus
Article first published online: 3 FEB 2010
DOI: 10.1111/j.1346-8138.2009.00780.x
© 2010 Japanese Dermatological Association
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How to Cite
KIYOHARA, T., KOURABA, S., TAKAHASHI, H., KAWASAKI, T., TAKEUCHI, A. and KUMAKIRI, M. (2010), Malignant melanoma with preserved hairs: A snap shot could suggest the development from an acquired melanocytic nevus. The Journal of Dermatology, 37: 167–170. doi: 10.1111/j.1346-8138.2009.00780.x
Publication History
- Issue published online: 3 FEB 2010
- Article first published online: 3 FEB 2010
- Received 16 February 2009; accepted 6 October 2009.
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Keywords:
- acquired melanocytic nevus;
- malignant transformation;
- melanoma;
- nevus-associated melanoma;
- snap shot
Abstract
A 63-year-old man presented with a dome-shaped, black nodule on his right forehead, where hairs were preserved. The black surface tone measured 7 mm in diameter and spread irregularly from the periphery of the nodule. He had been conscious of the preceding, black macule for approximately 50 years. A snap shot of the patient in adolescence showed a tiny, black macule, which was a few millimeters in diameter. Histological examination demonstrated irregular proliferation of melanoma cells from the epidermis to the dermis. Partially, there were well-circumscribed, oval nests composed of nevus cells in the acanthotic epidermis and follicles. Nevus cells were also seen in the dermal component, presenting a burnt-out appearance. In this case, the small final size, the preserved hairs and the snap shot suggested a preceding, acquired melanocytic nevus. Malignant melanoma could arise from acquired melanocytic nevus.

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