Clinical Presentation of Acral Lentiginous Melanoma: A Descriptive Study

Pereda, Carolina; Traves, Víctor; Requena, Celia; Serra‐Guillén, C.; Llombart, B.; Sanmartín, O.; Guillén, C.; Nagore, Eduardo

doi:10.1016/j.adengl.2012.06.024

Cited by 8 publications

(7 citation statements)

References 14 publications

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“…7,67 More insidious sources of foot pain tend to lead to greater duration of patient delays compared with provider delays. [68][69][70] Given the qualitative analysis in this study, progressing to MRI in patients with traumatic foot injuries with tenderness at the medial cuneiform may minimize provider delay while expediting the requisite rehabilitative treatments.…”

Section: Discussionmentioning

confidence: 99%

Isolated Medial Cuneiform Fractures: A Systematic Search and Qualitative Analysis of Case Studies

Mabry¹,

Patti²,

Ross³

et al. 2021

Journal of the American Podiatric Medical Association

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Background Isolated medial cuneiform fracture is a rare but diagnostically challenging condition. Diagnostic delay in these cases may lead to delays in ideal treatment approaches and prolonged symptoms. An understanding of clinical presentation is needed to expedite diagnosis, facilitate decision making, and guide treatment approach. Methods Case studies/series were searched in four databases until September 2019. Included studies had participants with a history of traumatic closed medial cuneiform fracture. Studies were excluded if the medial cuneiform fractures were open fractures, associated with multitrauma, or associated with dislocation/Lisfranc injury. Three blinded reviewers assessed the methodological quality of the studies, and a qualitative synthesis was performed. Results Ten studies comprising 15 patients were identified. Mean ± SD patient age was 38.0 ± 12.8 years, with 86.7% of reported participants being men. The overall methodological quality was moderate to high, and reporting of the patient selection criteria was poor overall. The most commonly reported clinical symptoms were localized tenderness (60.0%) and edema (53.3%). Direct blow was the most common inciting trauma (46.2%), followed by axial load (30.8%) and avulsion injuries (23.1%). Baseline radiographs were occult in 72.7% of patients; magnetic resonance imaging and computed tomography were the most common diagnostic modalities. Mean ± SD diagnostic delay was 64.7 ± 89.6 days. Conservative management was pursued in 54.5% of patients, with reported resolution of symptoms in 3 to 6 months. Surgical intervention occurred in 45.5% of patients and resulted in functional restoration in 3 to 6 months in all but one patient. Conclusions Initial radiographs for isolated medial cuneiform fractures are frequently occult. Due to expedience and relatively low cost, radiographs are still a viable first-line imaging modality. If clinical concern remains, magnetic resonance imaging may be pursued to minimize diagnostic delay. Conservative management is a viable treatment method, with expected return to full function in 3 to 6 months.

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Section: Discussionmentioning

confidence: 99%

Isolated Medial Cuneiform Fractures: A Systematic Search and Qualitative Analysis of Case Studies

Mabry¹,

Patti²,

Ross³

et al. 2021

Journal of the American Podiatric Medical Association

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“…Four ALMs of the hand were subungueal. Most of the foot ALMs were located on the sole (twelve cases) [22]. The most frequent location of ALM is in the feet (Figure 1), mainly the plantar region and the first finger, as in subungual areas in the majority of non caucasians racial groups.…”

Section: Acral Lentiginous Melanomamentioning

confidence: 99%

“…The most frequent location of ALM is in the feet (Figure 1), mainly the plantar region and the first finger, as in subungual areas in the majority of non caucasians racial groups. This has led to the conclusion that trauma may be an important factor of ALM, and not sun exposure [22]. Even when the superficial region of the palms and plantar region are similar, in the plantar region there is a continuous exposure to pressure, friction, maceration and irritation.…”

Section: Acral Lentiginous Melanomamentioning

confidence: 99%

Acral Melanoma — A Distinct Molecular and Clinical Subtype

Barra-Martínez¹,

Herrera-González²,

–Ramírez³

et al. 2015

Melanoma - Current Clinical Management and Future Therapeutics

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“…ALMs and nodular melanomas are usually diagnosed at later stages and have traditionally been associated with a worse prognosis compared to the other histologic subtypes of the extremities 8,9 …”

Section: Introductionmentioning

confidence: 99%

Acral lentiginous melanoma: A retrospective study

Redi

Marruzzo

Lovero

et al. 2020

J of Cosmetic Dermatology

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Melanoma is a malignant tumor that originates from the melanocytes, primarily involving the skin. Its incidence is rising worldwide in the white population, especially in those areas where fair-skinned peoples receive excessive sun exposure. 1 The incidence of cutaneous melanoma has increased at rapid rate during the last 50 years, much higher than any other cancer in the world, with an estimated 91 270 new cases in 2018 only in the United States. 2 Such alarming epidemiological data show that melanoma is a major public health problem and it requires further attention.The principal clinical and histological melanomas' subtypes are as follows: superficial spreading melanoma, lentigo maligna melanoma, nodular melanoma, and acral lentiginous melanoma (ALM). 1 Despite being the least common of the four major subtypes, it has been reported that 7% of all cutaneous melanomas are located at acral

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Clinical Presentation of Acral Lentiginous Melanoma: A Descriptive Study

Cited by 8 publications

References 14 publications

Isolated Medial Cuneiform Fractures: A Systematic Search and Qualitative Analysis of Case Studies

Isolated Medial Cuneiform Fractures: A Systematic Search and Qualitative Analysis of Case Studies

Acral Melanoma — A Distinct Molecular and Clinical Subtype

Acral lentiginous melanoma: A retrospective study

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