Steven Leibowitz, MD
  • 100 UCLA Medical Plaza, Suite 747, Los Angeles, California,90024
    310-272-0808
  • 653 Town Center Drive, Suite 102, Las Vegas, Nevada,89144
    702-242-5555
  • 8641 Wilshire Blvd, Suite 312, Beverly Hills, California,90211
    310-272-0808
  • 5301 Truxton Avenue, Suite 200, Bakersfield, California,93309
    661-412-2322
  • 299 N. Pecos Road, Henderson, Nevada,89074
    702-242-5555
Procedures

Malignant Melanoma

Note the pigmented lesion on the left upper eyelid

Did You Know?

  • Excessive sun exposure can result in painful sunburn, but can also lead to other serious health problems, including melanoma, a life-threatening form of skin cancer.
  • Melanoma is one of the fastest-growing forms of cancer.
  • Children are at greatest risk, since serious sunburns during the originally 18 years of life is believed to increase the risk of cancer by more than 50%.
  • For those with sun-sensitive skin, fair complexions, light hair, or for those who spend excessive amounts of time in the sun
  • in 1983, Drs. Kopf, Friedman and Rigel developed the A, B, C, D technique for diagnosing melanoma
    • surface characteristics that can be seen by all, patients and doctors alike.
      • A .... asymmetry,
      • B .....border irregularity,
      • C .....color variation
      • D.....diameter over 6mm (1/4 of an inch).
    Asymmetry not regularly round or regularly oval
    Border notched, scalloped or poorly defined at the edges
    Color variation shades of brown, tan, red, white, blue or black alone or in any combination
    Diameter 6mm (the size of a pencil eraser)
  • What is it?

    • Malignant melanoma represents approximately 5% of all skin cancers. Never the less, ALMOST 2/3 OF ALL DEATHS FROM SKIN CANCER ARE DUE TO MALIGNANT MELANOMA!
    • Most cutaneous (skin) melanomas seem to develop without a history of a nevus.

    The four forms of cutaneous melanoma are


    1) lentigo maligna melanoma
    2) superficial spreading melanoma
    3) nodular melanoma
    4) acral lentiginous melanoma.
  • Who gets them?

    • Primary malignant melanomas of the eyelid are extremely rare; they amount to 1% of all eyelid cancers.
    • It has been estimated that an American's current lifetime risk for developing a skin melanoma is 1 in 128.
  • Where do they Occur?

    • Lentigo maligna (Hutchinson's melanotic freckle) is considered the premalignant lesion of lentigo maligna melanoma. It a represents 10% of all skin melanomas is the most common form in the head and neck areas.
    • They are usually flat, tan to brown macule with irregular borders.
    • Within the lesion, there might also be areas of white and grey. They most offen occur on sun-exposed facial skin in the elderly.
  • Superficial spreading melanoma is considered the more common form of melanoma. It represents 70% of skin melanomas. It usuallly involves nonexposed skin surfaces. It might appear on the nonexposed skin surfaces and a grow faster than lentigo maligna.
  • Are they dangerous?

  • Treatment

    • A patient with a suspected eyelid melanoma should have a careful examination, an incisional biopsy, and might ultimately require complete excision of the lesion and follow-up with an oncologist since this tumor can spread throughout the body.
    • Excision of the tumor can be performed by a MOHS surgeon, an dermatologist, or an ophthalmic plastic surgeon.
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