Melanoma malignes acrolentiginous: Brown "spot" on the left small toe that has existed for many years; for several months now it has been growing in thickness, weeping and bleeding.
Fibromatosis, digital infantile. detailed enlargement of the findings of the right big toe of the above mentioned patient. 2 very rough, in the center somewhat yellowish, reddened nodes at the margins are impressive.
Amelanotic acrolentiginous malignant melanoma: slowly growing nodule known for several years; increasing nail destruction in the last six months, also weeping and bleeding, sometimes slight pain; encircled and marked with an arrow, deep-seated pigment remains, which suggest the diagnosis "malignant melanoma".
Dorsal cyst, mucoid: painless, approximately 1.5 cm large, skin-coloured, plump, elastic, surface-smooth "node" (cyst), which has existed for about 1 year, from which a gelatinous substance has emptied itself under pressure, whereby the whole node has disappeared. rezdiv within a few weeks
Melanoma, malignant, acrolentiginous. solitary, chronically stationary, slowly increasing, localized at the right big toe, measuring about 0.5 cm, touch-sensitive, red node ulcerated with a dark pigmented part (see circle and arrow marking) Histology: tumor thickness 2.7 mm, Clark level IV, pT3b N0 M0, stage IIB.
Fibrokeratome, acquired, digital. 7 years old, slightly size progressive, pressure dolent, growing out from under the nail, approx. 0.5 cm diameter, red nodule with horny surface in a 62 year old female patient, which led to a steep lifting of the nail plate. The nail organ is painful with localized pressure.
melanoma, malignant, acrolentiginous. solitary, chronically inpatient, since years existing, slightly size progressive, indolent, recently bleeding in banal traumas, blue-black nodule, which lifts the nail matrix and has almost completely displaced it laterally. the nail itself shows a stripy, brown-black discoloration. the perionychium is brownish pigmented.
Melanoma, malignant, acrolentiginous. 2 x 3 cm diameter, red, flat, slightly putrid ulceration on the right big toe of a 73-year-old woman. At the lateral border of the ulcer there are shadowy pigment remains (circled and marked with arrows) in intact skin. In addition, palpation of the peripheral venous leg stations on the right inguinal side shows several enlarged venous leg ulcers (DD: reactive enlargement?).
Melanoma, malignant, acrolentiginous.Here: amelanotic malignant melanoma: Chronic inpatient tumor in an 80-year-old patient, existing since 2 years, localized at a pressure-exposed site, flat, sharply defined, slightly painful, similar to an ulcer, slightly raised, flat, ulcerated. The diagnosis as primary tumor was made by finding a metastasis. Note: The diagnosis of malignant melanoma in the presented case can only be made histologically. Clinically, at best, a suspected malignant tumor can be made, which must be clarified histologically.
melanoma, malignant, acrolentiginous. reddish, partly skin-coloured, slowly growing, coarse plaque, which has predominantly displaced the nail bed. there are also bizarre, black-brown hyperpigmentations. the nail plate is no longer existent except for a rest.
Amelanotic acrolentiginous malignant melanoma: A "reddish spot" that has existed for years. It is said that this broad-based red node has been formed for a few months and has bled several times.
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