Yulia Farida Yahya
Mohammad Hoesin General Hospital, Palembang, Indonesia
Title: Late diagnosis of acral lentiginous melanoma with complicated lymphoma malignant after amputation
Biography
Biography: Yulia Farida Yahya
Abstract
Acral lentiginous melanoma (ALM) is an uncommon cutaneous malignant tumor which may arise on the toe-nail and occur commonly in age 60-70 years old. ALM is a very rare disease in Asian countries, especially Indonesia and it is potentially lethal probably due to late detection. We reported a rare case in 14 years old girl with ALM, the chief complaint are hyperpigmented, thickness of 0.2 cm plaque with raised edge, irregular surface, overlying crust around lateral of left thumb nail 2×1.5 cm and black patches on nail plate 0.2×0.4 cm. The lesion is itchy sometimes, painful when stroked and odorless discharge. Past history revealed it has appeared around 6 years ago as a very small hyperpigmented papule and enlarging since 6 month ago, lymph node involvement was absent, no history of any trauma prior to the appearance of the lesion. After her first visit to our outpatient clinic, she never came again for control. A year later, she has discovered it is a malignant tumor after the tumor was amputated followed by biopsy from excised tumor by a surgeon in another hospital. Pathologic examination result was a suggestive malignant melanoma. Three months ago, she was admitted in internal inpatient ward of Mohammad Hoesin General Hospital Palembang with abdominal malignant lymphoma and treated with chemotherapy and after undergo 5 times of chemotherapy, she has passed away. In this case, due to delayed diagnosis of ALM can lead to worse prognosis, indicated the importance of earlier diagnostic, management, strict observation and routine follow-up after excision.