Challenge in diagnosis and management of lentigo maligna and lentigo maligna melanoma

Ika Anggraini (Department of Dermatology and Venereology Faculty of Medicine, Universitas Indonesia dr. Cipto Mangunkusumo General Hospital)
Eliza Miranda (Department of Dermatology and Venereology Faculty of Medicine, Universitas Indonesia dr. Cipto Mangunkusumo General Hospital)
Larisa Paramitha Wibawa (Department of Dermatology and Venereology Faculty of Medicine, Universitas Indonesia dr. Cipto Mangunkusumo General Hospital)
Roro Inge Ade Krisanti (Department of Dermatology and Venereology Faculty of Medicine, Universitas Indonesia dr. Cipto Mangunkusumo General Hospital)
Adhimukti T. Sampurna (Department of Dermatology and Venereology Faculty of Medicine, Universitas Indonesia dr. Cipto Mangunkusumo General Hospital)

Journal of General Procedural Dermatology and Venereology Indonesia
Vol 2, No 1 (2017): August

Lentigo maligna (LM) is a subtype of melanoma in situ, which can evolve into lentigo maligna melanoma (LMM) if treated inadequately. LM and LMM are usually found on chronically sun damaged skin such as the face (cheek and nose) of the elderly on seventh or eight decades. Clinical manifestation of LM may be quite subtle, so early diagnosis is difficult to perform.The treatment of LM and LMM are challenging due to ill-defined clinical margin, predilection on the face with great size, and preponderance of the elderly, which are potential for recurrency and progressiveness from LM into LMM. Keyword: lentigo maligna, lentigo maligna melanoma