Lentigo maligna is a pigmented lesion occurring on sun-exposed skin that has the potential to become lentigo maligna melanoma. Complete surgical removal is the treatment of choice. A 64-year-old woman with a large lentigo maligna of the face is presented. The tumor was surgically excised with negative histologic margins but recurred twice following full-thickness skin grafting of the wound bed. Histologic examination of the second recurrence revealed a lentigo maligna melanoma situated within the skin graft. Although rare, local recurrences of lentigo maligna within skin grafts exists, and the potential of lentigo maligna melanoma transformation is a distinct possibility, as illustrated by this case.
European Journal of Plastic Surgery – Springer Journals
Published: May 23, 2002
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