Conservative surgical treatment of a thin acral lentiginous melanoma of the thumb with no recurrences: a case report
Version of Record online: 12 APR 2013
© 2013 Wiley Periodicals, Inc.
Special Issue: Update on Understanding and Managing Chronic Wounds
Volume 26, Issue 3, pages 260–262, May/June 2013
How to Cite
Proietto, G., Giaculli, E., De Biasio, F., Guarneri, G. F., Rampino Cordaro, E. and Parodi, P. C. (2013), Conservative surgical treatment of a thin acral lentiginous melanoma of the thumb with no recurrences: a case report. Dermatologic Therapy, 26: 260–262. doi: 10.1111/j.1529-8019.2013.01550.x
- Issue online: 6 JUN 2013
- Version of Record online: 12 APR 2013
- acral lentiginous melanoma;
- antebrachial flap;
- conservative surgical treatment
Surgical treatment for acral lentiginous melanoma (ALM) is usually radical and severely invalidating, given its distinctly aggressive nature and poor prognosis. We report on a 76-year-old male patient with ALM of the left thumb who refused total amputation that would limit his gripping function. A “surgical degloving” was consequently performed, followed by plastic reconstruction with a radial antebrachial (the so-called Chinese) flap. A year after surgery, the patient was able to perform most finalized thumb movements without difficulty, and no metastases were recorded over a 5-year follow-up. The authors discuss the indications for such a treatment for thinner ALM in relation to the biological behavior of ALM.