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Melanoma of the Scalp Presenting as Poliosis Circumscripta

Melanoma of the Scalp Presenting as Poliosis Circumscripta Abstract The scalp is an uncommon site for melanoma to occur, and lesions often present in an advanced state. Their high rate of metastasis may be related to the rich blood and lymphatic supply. We present a patient who developed poliosis circumscripta. This sign served as a clue for the diagnosis of his scalp melanoma. Report of a Case. A 42-year-old man presented for evaluation of poliosis circumscripta and an underlying darkly pigmented scalp lesion. Two years previously, the patient noticed a localized graying of his left temporal hair. Over time, the area of graying expanded, and 4 months before presentation he became aware of the darkly pigmented scalp lesion.On physical examination, we noted a 1.2-cm area of left temporal poliosis and a 25×20-mm ''C''-shaped black plaque with areas of red, white, and blue discoloration (Figure 1). The central portion was devoid of pigment, and the hair growing in this References 1. Prayer L, Winkelbauer H, Greitzmann N, et al. Sonography vs palpation in the detection of regional lymph node metastases in patients with malignant melanoma . Eur J Cancer. 1990;26:827-830.Crossref 2. Close LG, Goepfert H, Ballantyne AJ, et al. Malignant melanoma of the scalp . Laryngoscope . 1979;89:1189-1196. 3. Essner R, Wong JH, Economou JS, et al. Prognostic significance of melanoma arising in the scalp . Am J Surg. 1988;156:314-317.Crossref 4. Shaw HM, McCarthy WH, McCarthy SW, et al. Thin melanoma and recurrence potential . Arch Surg. 1987;122:1147-1150.Crossref 5. Urist MM, Balch CM, Soong SJ, et al. Head and neck melanoma in 534 clinical stage I patients . Ann Surg. 1984;200:769-775.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Melanoma of the Scalp Presenting as Poliosis Circumscripta

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1995.01690170122027
Publisher site
See Article on Publisher Site

Abstract

Abstract The scalp is an uncommon site for melanoma to occur, and lesions often present in an advanced state. Their high rate of metastasis may be related to the rich blood and lymphatic supply. We present a patient who developed poliosis circumscripta. This sign served as a clue for the diagnosis of his scalp melanoma. Report of a Case. A 42-year-old man presented for evaluation of poliosis circumscripta and an underlying darkly pigmented scalp lesion. Two years previously, the patient noticed a localized graying of his left temporal hair. Over time, the area of graying expanded, and 4 months before presentation he became aware of the darkly pigmented scalp lesion.On physical examination, we noted a 1.2-cm area of left temporal poliosis and a 25×20-mm ''C''-shaped black plaque with areas of red, white, and blue discoloration (Figure 1). The central portion was devoid of pigment, and the hair growing in this References 1. Prayer L, Winkelbauer H, Greitzmann N, et al. Sonography vs palpation in the detection of regional lymph node metastases in patients with malignant melanoma . Eur J Cancer. 1990;26:827-830.Crossref 2. Close LG, Goepfert H, Ballantyne AJ, et al. Malignant melanoma of the scalp . Laryngoscope . 1979;89:1189-1196. 3. Essner R, Wong JH, Economou JS, et al. Prognostic significance of melanoma arising in the scalp . Am J Surg. 1988;156:314-317.Crossref 4. Shaw HM, McCarthy WH, McCarthy SW, et al. Thin melanoma and recurrence potential . Arch Surg. 1987;122:1147-1150.Crossref 5. Urist MM, Balch CM, Soong SJ, et al. Head and neck melanoma in 534 clinical stage I patients . Ann Surg. 1984;200:769-775.Crossref

Journal

Archives of Dermatology – American Medical Association

Published: May 1, 1995

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