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Diagnosis: Lentigo Maligna

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There has been much confusion over the terminology and exact meaning of 'lentigo maligna' (see eMedicine CME article below).

I would like to simplify the discussion by agreeing completely with A. Bernard Ackerman, M.D.:

"Lentigo maligna is melanoma-in-situ on a background of sun damaged skin".

Treatment includes surgical excision of this superficial melanoma. More and more frequently, Mohs micrographically margin controlled surgery is the excisional approach. In patients in declining or poor health, radiation may be a reasonable consideration. For melanoma-in-situ, the appropriate medical tests, in addition to a general medical exam, include liver function studies and a chest x-ray. Patient should be followed, clinically, at approximate 3-6 month intervals.

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To read CME article on Lentigo Maligna click here

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To read a comprehensive review on Melanoma Dermatology Text by Bolognia, Mosby Publishers,
click here

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To obtain a copy of Dr. Ackerman's book Resoling Quandaries please click here

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To view other "Crutchield Dermatology Clinical Cases of the Month" in our archives please click here

Charles E. Crutchfield III, MD
Clinical Adjunct Associate Professor of Dermatology
At the
University of Minnesota Medical School
Medical Director, Crutchfield Dermatology
www.CrutchfieldDermatology.com

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