Hair repigmentation as a melanoma warning sign DermTwitter
Careful clinicopathologic correlation is necessary to appropriately diagnose and manage this unusual presentation of melanoma.Gershenwald JE, Scolyer RA, Hess KR, et al. Melanoma staging: evidence‐based changes in the American Joint Committee on Cancer eighth edition cancer staging manual.Vetto JT, Hsueh EC, Gastman BR, et al. Guidance of sentinel lymph node biopsy decisions in patients with T1–T2 melanoma using gene expression profiling.Inzinger M, Massone C, Arzberger E, et al.
The initial biopsy showed melanoma in situ. However, the final pathology report following the excision revealed an invasive melanoma with a Breslow depth of 1.0 mm .FIGURE 2. Staged excision of the pigmented area of the left parietal scalp revealed an emerging hair shaft with dark, variably chunky pigment deposition seen in association with surrounding melanoma .The results of the test identified the patient had a low probability of a positive sentinel lymph node and the lowest risk of melanoma recurrence within 5 years. The patient was clear of disease at 12-month follow-up.
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