Lentigo Maligna : Clinical Presentation and Appropriate Management
Iznardo, Helena (Institut d'Investigació Biomèdica Sant Pau)
Garcia-Melendo, Cristina (Institut d'Investigació Biomèdica Sant Pau)
Yélamos, Oriol (Centro Médico Teknon - Quirónsalud)
Universitat Autònoma de Barcelona

Date:	2020
Abstract:	Lentigo maligna (LM) is a type of melanoma in situ that has distinctive characteristics regarding epidemiology, risk factors and clinical features. In addition, LM has a potential to progress to an invasive tumor with potentially aggressive behavior: lentigo maligna melanoma (LMM). Overall, LM has a very good prognosis, whereas LMM has the same prognosis as other invasive melanomas with similar Breslow thickness. LM/LMM represents a challenging entity not only regarding the diagnosis but also regarding the management. Diagnostic criteria are not well established, and there is an overlap of clinical, dermoscopic and pathological features with other benign pigmented skin lesions such as lentigines, pigmented actinic keratoses or macular seborrheic keratoses. LM/LMM's common appearance within photodamaged skin makes lesion border identification difficult. Wide excisions are often required, but since LM/LMM typically appears on cosmetically sensitive areas such as the face, sometimes large excisions are not possible nor desirable. In this sense, specialized approaches have been developed such as margin-controlled surgery or image-guided treatment using reflectance confocal microscopy. Other treatments for LM such as cryosurgery, imiquimod, radiotherapy or photodynamic therapy have been proposed, although recurrence/persistence is common. The current manuscript reviews extensively the published data regarding the diagnosis, treatment and management of both complex entities LM and LMM.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article de revisió ; recerca ; Versió publicada
Subject:	Lentigo maligna ; Melanoma ; Lentigo maligna melanoma ; Dermoscopy ; Dermatoscopy ; Reflectance confocal microscopy ; Staged excision ; Mohs surgery ; Imiquimod
Published in:	Clinical, Cosmetic and Investigational Dermatology, Vol. 13 (november 2020) , p. 837-855, ISSN 1178-7015

DOI: 10.2147/CCID.S224738
PMID: 33223843

19 p, 1.5 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles