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The “Hidden-Wolf among the Lambs”: Proposal of a New Phenomenon through a Camouflaged-melanoma among Pigmented Seborrheic Keratoses

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Malignant melanoma (MM) is the most malignant skin cancer whose classical clinical  types include lentigo maligna (LM), superficial spreading melanoma (SSM), nodular (NM) and acral lentiginous melanoma (ALM). Superficial spreading melanomas constitute approximately 70% of melanomas. For the early diagnosis of MM, the ABCD rule and the “ugly duckling” sign are the most utilized criteria. We present a 72-year-old man with a SMM which was located among numerous pigmented and non-pigmented seborrheic keratosis (SK). We also propose a new mnemonic to describe camouflaged-melanomas among pigmented SKs, as well as other benign non-melanocytic lesions through our case.  



08 May, 2019
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e-Published: 14 Feb, 2019


Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

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