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Correspondence |

Melanoma of the Foot and Ankle: A Case Series of an Underrecognized Entity

Hubert T. Greenway Jr, MD; Joy M. Twersky, MD; Shanna B. Meads, MD; Benjamin F. Kelley
Arch Dermatol. 2007;143(4):543-551. doi:10.1001/archderm.143.4.543.
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Melanoma is the most common malignancy of the foot1 and is more likely to be misdiagnosed on the foot than in any other location.2 Clinical mimics include verruca, onychomycosis, subungual hematoma, or ischemic digits.2,3

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Walsh  SMFisher  SGSage  RA Survival of patients with primary pedal melanoma. J Foot Ankle Surg 2003;42193- 198
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Harmelin  ESHolcombe  RNGoggin  JPCarbonell  JWellens  T Acral lentiginous melanoma. J Foot Ankle Surg 1998;37540- 545
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Lens  MBDawes  MGoodacre  TBishop  JA Excision margins in the treatment of primary cutaneous melanoma: a systematic review of randomized controlled trials comparing narrow vs wide excision. Arch Surg 2002;1371101- 1105
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Figures

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Figure 1.

Preoperative (postbiopsy) view of melanoma of the foot and ankle of the patient in case 1. Breslow depth was 0.5 mm; diameter, 16 × 10 mm.

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Figure 2.

Melanoma of the foot of the patient in case 8. Breslow depth was 6.0 mm; diameter, 40 × 25 mm.

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