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Melanoma Subtypes









             Superficial spreading melanoma

                                                   The most common type


                                                   Lesions are offen flat with irregular
                                                     border, pigmentation and surface

                                                   May arise from pre-existing naevi










             Nodular melanoma


                                                   Better demarcated

                                                   Relatively       early     vertical     growth
                                                     phase

                                                   Often occur de novo

                                                   Can be amelanotic in 5%







             Acral lentiginous melanoma


                                                   Occur           on         palms,          soles,
                                                     mucocutaneous junctions and in
                                                     subungual locations

                                                   Melanonychia           (black      streaks      in
                                                     nails)








             Lentigo maligna melanoma


                                                   On sun-exposed skin

                                                   The invasive counterpart of lentigo
                                                     maligna

                                                   3-5% of lentigo maligna will become
                                                     invasive
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