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Advanced Technical IVT

lentigo maligna

Pronunciation: len-TY-go ma-LIG-na

In situ melanoma typically occurring on sun-damaged skin of elderly patients.

Full Definition

A form of melanoma in situ that typically develops on chronically sun-exposed skin, most commonly the face of elderly patients. Lentigo maligna appears as a slowly enlarging, irregularly pigmented macule or patch with variegated colors and irregular borders. While it represents melanoma in situ (confined to the epidermis), it has the potential to progress to invasive melanoma (lentigo maligna melanoma) if left untreated. Complete excision with adequate margins is the treatment of choice.

Usage

Usage note: Distinguish from lentigo maligna melanoma, which is invasive.

In Context

  • "The facial pigmented lesion was diagnosed as lentigo maligna requiring complete excision." — biopsy report
  • "Lentigo maligna of the temple was successfully treated with Mohs surgery." — treatment summary

Also known as

Hutchinson melanotic freckle

Don't confuse with

solar lentigo seborrheic keratosis lentigo maligna melanoma

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