Malignant melanoma of the foot and ankle

摘要: The records of sixty patients who had a malignant melanoma the foot or ankle were reviewed retrospectively to determine clinical features, prognostic factors, and distinguishing characteristics. Fifty-seven white three black. There forty-two women eighteen men (a female-to-male ratio 2.3 1). mean age at time presentation was fifty-seven years (range, twenty-two eighty-three years). most common site involvement plantar aspect foot. duration follow-up forty-five months 144 months). Kaplan-Meier life-table analysis revealed an over-all five-year survival rate 63 per cent ten-year 51 cent. for subungual lesion significantly shorter than that another on dorsal (forty-seven compared with seventy-two months) (p = 0.02). depth lesion, according criteria Breslow, 3.03 millimeters, level, classification Clark et al., IV. According American Joint Commission Cancer, forty-three stage-I II (local) disease, thirteen stage-III disease (nodal in-transit defined as cutaneous subcutaneous metastases more two centimeters from primary tumor but not beyond regional lymph nodes), four stage-IV (distant visceral metastases) presentation. Lesions sites also associated higher prevalence misdiagnosis lesions misdiagnoses included benign nevus (one patient), paronychia pyogenic granuloma (two patients), wart (three ganglion cyst blister traumatic (five patients).(ABSTRACT TRUNCATED AT 250 WORDS)