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Lentigo maligna on the face: a challenging conduct

Abstract

Lentigo maligna is a melanoma in situ, of slow radial growth, which affects sun-exposed areas, especially in the elderly. When it affects the eyelid, due to the proximity to a noble organ, the conduct is controversial, but surgery is the method most commonly used, with with margins varying according to the reference used. Conservative treatments are described, such as imiquimod 5% and radiotherapy. This report aims to demonstrate the lack of studies on the surgical margin, and to name nonsurgical treatment options for lentigo maligna of the face.

Keywords:
Melanoma/pahology; Hutchinson's melanotic freckle/pathology; Facial neoplasms/diagnosis; Skin neoplasms/diagnosis; Aged; Case reports

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