Desmoplastic malignant melanoma of the lip: a report of 6 cases and review of the literature.

Abstract:

:Desmoplastic malignant melanoma is a rare neoplasm consisting primarily of spindle-shaped melanoma cells embedded in a fibrous stroma, with approximately 6% of cases occurring in the lip. A literature search revealed that most reported cases occur in sun-exposed areas in older men. Few cases of desmoplastic malignant melanoma of the lip in young people (in their mid-twenties) have been described. We report 6 previously undocumented cases of labial desmoplastic malignant melanoma occurring in young individuals and review 20 cases from the literature. Physicians should consider the possibility of desmoplastic malignant melanoma in young people who present with atypical lip lesions, which on histopathologic analysis demonstrate spindle-cell hyperplasia. Although this diagnosis is rare and there have not been reports of such patients in the literature thus far, our findings should alert clinicians to the possibility of desmoplastic malignant melanoma as a diagnosis for lip lesions in young people.

journal_name

J Am Acad Dermatol

authors

Hui JI,Linden KG,Barr RJ

doi

10.1067/mjd.2002.124686

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

863-8

issue

6

eissn

0190-9622

issn

1097-6787

pii

S0190962202003158

journal_volume

47

pub_type

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