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A 48-year-old woman was evaluated in the clinic because of multiple pigmented skin lesions and a personal and family history of melanoma.
When the patient was 30 years old, a superficial spreading melanoma, 0.34 mm in thickness and Clark level II, was found on the middle lower back. A chest radiograph showed no evidence of metastatic disease. The lesion was excised with a wide margin at another hospital and did not recur. When she was 32 years old, the patient came to the Pigmented Lesion Clinic at this hospital for evaluation as a patient at high risk for melanoma. She
Pathological Discussion
Differential Diagnosis
Inherited Disorders Associated with Pigmented Lesions
Pigmented Lesions and Cutaneous Melanoma
Familial Atypical MoleMelanoma Syndrome
Atypical Moles
Familial Melanoma
Genetic Basis of Hereditary Melanoma
Genetic Counseling and the Role of Genetic Testing
Discussion of Management
Diagnosis
Source Information
From the Wellman Center for Photomedicine (H.T.), the Pigmented Lesion Clinic and the Department of Dermatology (H.T., A.J.S.), the Center for Cancer Risk Analysis (H.T., K.B.N.), and the Dermatopathology Unit, Department of Pathology (A.Z.), Massachusetts General Hospital; and the Departments of Dermatology (H.T., A.J.S.) and Pathology (A.Z.), Harvard Medical School.
Related Letters:
Case 7-2004: Hereditary Melanoma and Pancreatic Cancer
Koopmann J., Goggins M., Hruban R. H., Tsao H., Sober A. J., Niendorf K. B.
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N Engl J Med 2004;
350:2623-2624, Jun 17, 2004.
Correspondence
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