Abstract

VALDES ALVAREZ, Karen; FELIPE JIMENEZ, Andrés  and  CHAO PEREIRA, Caridad. Disseminated amelanotic melanoma. Rev cubana med [online]. 2021, vol.60, n.1  Epub Feb 25, 2021. ISSN 1561-302X.

Amelanotic melanoma is one of the neoplasms with the highest mortality rate because it is highly aggressive and the diagnostic probability is low. It affects the population of the entire globe, more frequent in Caucasians, with genetic predisposition and risk factors such as sun exposure. It presents survival rates of less than 10% at 5 years and high recurrence rates; with evidence of distant metastatic processes in organs such as brain, subcutaneous cellular tissue, lung, peritoneum, bone, which casts a shadow on the prognosis. We report the case of a 21-year-old patient who came to the hospital due to ecchymotic lesions, subcutaneous nodules and a two-month evolution of left hemicrania headache. She underwent chest and abdomen tomography and MRI of the skull. They showed metastatic spread. Histopathological study was performed with immunohistochemistry that reported amelanotic melanoma.

Keywords : amelanotic melanoma; malignant melanoma; metastasis; skin cancer.

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