Hutchinson's Melanotic Freckle

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  • Either precursor of or eponymous term for Lentigo Maligna Melanoma
  • precancerous condition occurring chiefly during middle and old age
  • typical lesions start on the face as a small dark brown or sepia spot
  • initially may be simultaneous expansion and regression, 
  • eventually macules coalesce to form irregular pigmented areas
    • often reaching 10 cm in diameter
  • onset of mailgnancy signalled by
    • thickening
    • induration
    • papules
    • verrucae
    • ulceration
  • average period from onset to development of aggressive, malignant melanoma is about 10 years.
 

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