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Titolo:
Desmoplastic melanoma
Autore:
Payne, WG; Kearney, R; Wells, K; Blue, M; Walusimbi, M; Mosiello, G; Cruse, CW; Reintgen, D;
Indirizzi:
Univ S Florida, Dept Surg, Tampa, FL 33620 USA Univ S Florida Tampa FL USA 33620 Florida, Dept Surg, Tampa, FL 33620 USA Dept Vet Affairs, Bay Pines, FL USA Dept Vet Affairs Bay Pines FL USADept Vet Affairs, Bay Pines, FL USA
Titolo Testata:
AMERICAN SURGEON
fascicolo: 10, volume: 67, anno: 2001,
pagine: 1004 - 1006
SICI:
0003-1348(200110)67:10<1004:DM>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
MALIGNANT-MELANOMA; VARIANT; RARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Payne, WG Bay Pines VA Med Ctr, Surg Serv 112, 10000 Bay Pines Blvd, Bay Pines, FL 33744 USA Bay Pines VA Med Ctr 10000 Bay Pines Blvd Bay Pines FL USA 33744
Citazione:
W.G. Payne et al., "Desmoplastic melanoma", AM SURG, 67(10), 2001, pp. 1004-1006

Abstract

Desmoplastic melanoma is an uncommonly encountered variant of malignant melanoma. Three histological subtypes exist: desmoplastic, neurotropic, and neural transforming. Desmoplastic melanoma commonly presents in conjunction with existing melanocytic lesions or as an amelanotic firm nodule. Local recurrences are common. Thirty patients over a 6-year period were treated at our institution for desmoplastic melanoma. All lesions were treated with local excision. Local recurrence occurred in seven patients (23%) and was treated by aggressive re-excision in each instance. Clinical regional metastasis (lymph nodal basins) were detected in two patients (6%). Distant metastasis (lung) developed in two patients (6%). Twenty-three patients (76%) werefound to have desmoplastic subtype, whereas five (17%) had neurotropic subtype. Six patients (20%) had associated pigmented melanotic lesions. Average length of follow-up has been 18 months. Overall survival is 96 per cent. Presentations and histologic diagnosis can sometimes be difficult and misleading. Treatment is aggressive local excision with follow-up necessary to detect resectable recurrent lesions.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 07:07:36