Images in Clinical Medicine

Kim Eagle, M.D., Editor

Malignant Melanoma

Greta C. Zimmerman, D.O., and William J. Grabski, M.D.

N Engl J Med 1994; 331:168July 21, 1994

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Article

Figure 1 Malignant Melanoma.

There are several recognized variants of malignant melanoma. Panel A depicts a superficial spreading melanoma of the trunk, the type most commonly seen in fair-skinned patients. Panel B shows a lentigo maligna melanoma of the cheek, a type seen most frequently on sun-exposed areas in elderly patients. Panel C shows a nodular melanoma of the helix. The black streak in Panel D is a subungual melanoma of the thumb, a subtype of acral-lentiginous melanoma seen most frequently in Asians and blacks. Panel E shows an amelanotic melanoma on the arm.

Kim Eagle, M.D.

Greta C. Zimmerman, D.O.
William J. Grabski, M.D.
Brooke Army Medical Center, Fort Sam Houston, TX 78234