Neurotropic Melanoma: The Management of Localised Disease

Neurotropic melanoma is a rare subtype of cutaneous malignant melanoma. Compared with conventional melanoma, it is more locally aggressive with an increased tendency for local recurrence but less likely for nodal or distant metastases. These tumours can be a diagnostic dilemma with a variety of morp...

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Main Authors: Jeremy Croker, Bryan Burmeister, Matthew Foote
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Skin Cancer
Online Access:http://dx.doi.org/10.1155/2012/706452
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author Jeremy Croker
Bryan Burmeister
Matthew Foote
author_facet Jeremy Croker
Bryan Burmeister
Matthew Foote
author_sort Jeremy Croker
collection DOAJ
description Neurotropic melanoma is a rare subtype of cutaneous malignant melanoma. Compared with conventional melanoma, it is more locally aggressive with an increased tendency for local recurrence but less likely for nodal or distant metastases. These tumours can be a diagnostic dilemma with a variety of morphological, histopathological, and immunophenotypical expressions. The often amelanotic, benign appearance may lead to treatment issues such as late presentation, diagnostic delay, misdiagnosis, insufficient surgical margins, and recurrence with resulting poor outcome. The neurotropic nature of the disease and prevalence in the head and neck region can result in perineural and neural invasion along named large nerves into the brain with resulting neuropathies. Wide local excision with adjuvant radiotherapy where indicated remains the current practice for treatment with chemotherapy predominately being reserved as a salvage treatment for patients with disseminated disease.
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series Journal of Skin Cancer
spelling doaj-art-7855b0d6d41c4122b27a82cd5be4cb502025-02-03T05:52:19ZengWileyJournal of Skin Cancer2090-29052090-29132012-01-01201210.1155/2012/706452706452Neurotropic Melanoma: The Management of Localised DiseaseJeremy Croker0Bryan Burmeister1Matthew Foote2Radiation Oncology Queensland, Liz Plummer Cancer Center, Lake and Grove Streets, Cairns, QLD 4870, AustraliaDivision of Cancer Services, Princess Alexandra Hospital, University of Queensland, 199 Ipswich Road Woolloongabba, QLD 4102, AustraliaDivision of Cancer Services, Princess Alexandra Hospital, University of Queensland, 199 Ipswich Road Woolloongabba, QLD 4102, AustraliaNeurotropic melanoma is a rare subtype of cutaneous malignant melanoma. Compared with conventional melanoma, it is more locally aggressive with an increased tendency for local recurrence but less likely for nodal or distant metastases. These tumours can be a diagnostic dilemma with a variety of morphological, histopathological, and immunophenotypical expressions. The often amelanotic, benign appearance may lead to treatment issues such as late presentation, diagnostic delay, misdiagnosis, insufficient surgical margins, and recurrence with resulting poor outcome. The neurotropic nature of the disease and prevalence in the head and neck region can result in perineural and neural invasion along named large nerves into the brain with resulting neuropathies. Wide local excision with adjuvant radiotherapy where indicated remains the current practice for treatment with chemotherapy predominately being reserved as a salvage treatment for patients with disseminated disease.http://dx.doi.org/10.1155/2012/706452
spellingShingle Jeremy Croker
Bryan Burmeister
Matthew Foote
Neurotropic Melanoma: The Management of Localised Disease
Journal of Skin Cancer
title Neurotropic Melanoma: The Management of Localised Disease
title_full Neurotropic Melanoma: The Management of Localised Disease
title_fullStr Neurotropic Melanoma: The Management of Localised Disease
title_full_unstemmed Neurotropic Melanoma: The Management of Localised Disease
title_short Neurotropic Melanoma: The Management of Localised Disease
title_sort neurotropic melanoma the management of localised disease
url http://dx.doi.org/10.1155/2012/706452
work_keys_str_mv AT jeremycroker neurotropicmelanomathemanagementoflocaliseddisease
AT bryanburmeister neurotropicmelanomathemanagementoflocaliseddisease
AT matthewfoote neurotropicmelanomathemanagementoflocaliseddisease