Melanomas and stress patterns on the foot: A systematic review and meta-analysis

Cho, Kenneth K; Cust, Anne E.; Foo, Yun Megan; Eslick, Guy D.

doi:10.1016/j.jaad.2020.08.078

Cited by 7 publications

(7 citation statements)

References 5 publications

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“…However, one patient with toenail NAMIS underwent seven stages and did not obtain a clear margin until 25 mm, indicating that the 5–10 mm margin recommended by guidelines does not apply to all cases. As researchers have previously reported, this finding also supports the hypothesis that repetitive mechanical stress may contribute to melanoma formation 42,43 . Slow MMS could reduce the recurrence rates for such tumors and provide more accurate and individualized treatment.…”

Section: Discussionsupporting

confidence: 86%

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Slow Mohs micrographic surgery for nail apparatus melanoma in situ

et al. 2023

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BackgroundNail apparatus melanoma is a malignant tumor with a high incidence in Chinese melanoma patients. Slow Mohs micrographic surgery is an emerging technique for treating nail apparatus melanoma in situ (NAMIS).ObjectiveThis study evaluated the efficacy and safety of slow Mohs micrographic surgery for treating NAMIS.MethodsPatients were enrolled in this retrospective study and treated in a single center from October 1, 2016, to June 30, 2022. Each patient underwent standard slow Mohs micrographic surgery, and follow‐up was regularly conducted at clinics.ResultsTen patients were enrolled in the study. Two patients underwent one Mohs stage, seven underwent two Mohs stages, and one underwent seven Mohs stages. The resection margin ranged from 5 to 25 mm. No severe complications were reported in the treatment, and recurrence of NAMIS was not observed during the follow‐up period.ConclusionSlow Mohs micrographic surgery is a valuable surgical method to treat NAMIS that preserves digit function and can be well tolerated by patients.

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Section: Discussionsupporting

confidence: 86%

“…As researchers have previously reported, this finding also supports the hypothesis that repetitive mechanical stress may contribute to melanoma formation. 42,43 Slow MMS could reduce the recurrence rates for such tumors and provide more accurate and individualized treatment.…”

Section: Discussionmentioning

confidence: 99%

Slow Mohs micrographic surgery for nail apparatus melanoma in situ

et al. 2023

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“…[3][4][5][6] Compared with White patients, dark-skinned individuals more commonly acquire melanoma on acral areas, such as the hands and feet. [7][8][9] Especially, acral melanoma occurs most commonly on weight-bearing areas of the sole, [10][11][12][13] which recent research has attributed to nuclear membrane damage resulting from mechanical stress. 14 Surgical excision of tumors at such sites results in significant distress for patients, as weight-bearing and walking are impaired.…”

Section: Introductionmentioning

confidence: 99%

Comparison of full‐thickness skin graft and punch grafting in the reconstruction of plantar defects

Lee,

Nam,

et al. 2023

The Journal of Dermatology

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Acral melanoma commonly occurs on weight‐bearing areas of the sole. Reconstruction of such areas presents a surgical challenge due to limited availability and mobility of local skin. Thus, we aimed to compare the scar outcome of full‐thickness skin graft (FTSG) and punch grafting in the reconstruction of plantar defects after melanoma surgery. We retrospectively reviewed six patients who underwent both FTSG for nonweight‐bearing areas and punch grafting for weight‐bearing areas. We compared results of FTSG and punch grafting within the same patient. Photos of completely healed scars were graded using the Stony Brook Scar Evaluation Scale (SBSES). The averages of the FTSG scores and the punch graft scores, as measured by the SBSES, were statistically compared. Punch grafting yielded a better outcome than FTSG, according to the SBSES. The average of the punch grafting scars was 4.67, which was significantly greater (p = 0.004) than that of FTSG scar scores at 1.83. For weight‐bearing areas, punch grafting should be considered as the first option of reconstruction, with FTSG as a second option for nonweight‐bearing areas. Overall, this combined approach provides an effective and safe method for reconstruction of extensive plantar wounds.

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“…Palmoplantar melanoma is an aggressive subtype of malignant melanoma in which sunlight does not play a significant role in etiology. Unlike common melanomas, trauma is thought to play an essential role in its etiology (2,14). Palmoplantar melanomas occur in localizations that are not exposed to excessive sunlight and can be misdiagnosed with other skin lesions (13,14).…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Advanced Palmoplantar Melanoma

YEĞİN,

MAMMADOV,

İBRAHİMLİ

et al. 2023

Ege Tıp Dergisi

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Aim: Palmoplantar melanoma is a rare and aggressive subtype of malignant melanoma. Not like other subtypes, sunlight is not the primary etiologic factor. We aim to expand the knowledge on this rare and neglected malignant melanoma subtype and add our findings to the literature. Materials and Methods: Malignant Melanoma patients admitted to our hospital between 2008 and 2020 were retrospectively analyzed. Twenty-seven patients with plantar and one with palmar melanoma were identified and included in our study. Data about gender, age at the diagnosis, histopathological features, sentinel lymph node localization, performed surgeries, sentinel lymph node biopsy (SLNB) and regional lymph node dissection results, recurrence, survival time, primary tumor localization, and systemic metastases were collected. Results: 26 plantar and one palmar melanoma patients were operated on in this period. Six patients died during follow-up. Twenty-three patients were treated with wide excisions, and four were treated with amputations. The defect was reconstructed with a skin graft in all cases with excisions. In 6 patients with suspicious lymph nodes in the preoperative imaging, lymph node dissection was added to the treatment. Other patients had sentinel lymph node biopsies and continued with dissection if a metastatic node was encountered. Conclusion: Our findings are congruent with the current literature. Skin grafting may enhance the success of palmoplantar melanoma follow-up and demands attention.

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Melanomas and stress patterns on the foot: A systematic review and meta-analysis

Cited by 7 publications

References 5 publications

Slow Mohs micrographic surgery for nail apparatus melanoma in situ

Slow Mohs micrographic surgery for nail apparatus melanoma in situ

Comparison of full‐thickness skin graft and punch grafting in the reconstruction of plantar defects

Surgical Treatment of Advanced Palmoplantar Melanoma

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