Recent advancements in the diagnosis and treatment of acral melanoma

Acral melanoma (AM) is the most common histologic subtype of melanoma in dark-skinned patients and is associated with a worse prognosis and a high mortality rate, largely due to the inconspicuous nature of early-stage lesions, which can lead to late diagnosis. Because of the overlapping clinical and...

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Published in	Journal of Zhejiang University. B. Science Vol. 25; no. 2; pp. 106 - 122
Main Authors	Alhaskawi, Ahmad, Ezzi, Sohaib Hasan Abdullah, Dong, Yanzhao, Zhou, Haiying, Wang, Zewei, Lai, Jingtian, Yao, Chengjun, Kota, Vishnu Goutham, Abdulla, Mohamed Hasan Abdulla Hasan, Lu, Hui
Format	Journal Article
Language	English
Published	Hangzhou Zhejiang University Press 01.02.2024 Springer Nature B.V Department of Orthopedics,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310003,China%Department of Orthopaedics,Third Xiangya Hospital,Central South University,Changsha 410013,China%Zhejiang University School of Medicine,Hangzhou 310058,China%Department of Orthopedics,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310003,China Alibaba-Zhejiang University Joint Research Center of Future Digital Healthcare,Zhejiang University,Hangzhou 310058,China
Subjects	Biomedical and Life Sciences Biomedicine Chemotherapy Diagnosis Diagnostic systems Health services Histopathology Immune checkpoint inhibitors Melanoma Oncolysis Radiation therapy Review Acral lentiginous melanoma Acral melanoma 肢端黑色素瘤肢端痣 Acral nevus Cutaneous malignant melanoma 溶瘤病毒治疗 Oncolytic virotherapy Dermoscopy 皮肤镜检查肢端雀斑样黑色素瘤皮肤恶性黑色素瘤
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Abstract	Acral melanoma (AM) is the most common histologic subtype of melanoma in dark-skinned patients and is associated with a worse prognosis and a high mortality rate, largely due to the inconspicuous nature of early-stage lesions, which can lead to late diagnosis. Because of the overlapping clinical and histopathological features of AM with other forms of cutaneous melanomas, early detection of AM requires a multidisciplinary approach that integrates various diagnostic modalities, including clinical examination, dermoscopy, histopathology, molecular testing, radiological imaging, and blood tests. While surgery is the preferred method of treatment for AM, other therapeutic options may be employed based on the stage and underlying etiology of the disease. Immune checkpoint inhibitors, molecular targeted therapy, radiotherapy, chemotherapy, and oncolytic virotherapy represent promising advanced treatment options for AM. In this review, we provide an overview of the latest advancements in diagnostic and therapeutic methods for AM, highlighting the importance of early detection and the prompt, individualized management of this challenging disease.
AbstractList	Acral melanoma (AM) is the most common histologic subtype of melanoma in dark-skinned patients and is associated with a worse prognosis and a high mortality rate, largely due to the inconspicuous nature of early-stage lesions, which can lead to late diagnosis. Because of the overlapping clinical and histopathological features of AM with other forms of cutaneous melanomas, early detection of AM requires a multidisciplinary approach that integrates various diagnostic modalities, including clinical examination, dermoscopy, histopathology, molecular testing, radiological imaging, and blood tests. While surgery is the preferred method of treatment for AM, other therapeutic options may be employed based on the stage and underlying etiology of the disease. Immune checkpoint inhibitors, molecular targeted therapy, radiotherapy, chemotherapy, and oncolytic virotherapy represent promising advanced treatment options for AM. In this review, we provide an overview of the latest advancements in diagnostic and therapeutic methods for AM, highlighting the importance of early detection and the prompt, individualized management of this challenging disease.
Author	Alhaskawi, Ahmad Lu, Hui Zhou, Haiying Abdulla, Mohamed Hasan Abdulla Hasan Wang, Zewei Yao, Chengjun Dong, Yanzhao Kota, Vishnu Goutham Ezzi, Sohaib Hasan Abdullah Lai, Jingtian
AuthorAffiliation	Department of Orthopedics,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310003,China%Department of Orthopaedics,Third Xiangya Hospital,Central South University,Changsha 410013,China%Zhejiang University School of Medicine,Hangzhou 310058,China%Department of Orthopedics,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310003,China;Alibaba-Zhejiang University Joint Research Center of Future Digital Healthcare,Zhejiang University,Hangzhou 310058,China
AuthorAffiliation_xml	– name: Department of Orthopedics,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310003,China%Department of Orthopaedics,Third Xiangya Hospital,Central South University,Changsha 410013,China%Zhejiang University School of Medicine,Hangzhou 310058,China%Department of Orthopedics,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310003,China;Alibaba-Zhejiang University Joint Research Center of Future Digital Healthcare,Zhejiang University,Hangzhou 310058,China
Author_xml	– sequence: 1 givenname: Ahmad orcidid: 0000-0001-8122-592X surname: Alhaskawi fullname: Alhaskawi, Ahmad organization: Department of Orthopedics, the First Affiliated Hospital, School of Medicine, Zhejiang University – sequence: 2 givenname: Sohaib Hasan Abdullah orcidid: 0000-0002-6080-6239 surname: Ezzi fullname: Ezzi, Sohaib Hasan Abdullah organization: Department of Orthopaedics, Third Xiangya Hospital, Central South University – sequence: 3 givenname: Yanzhao surname: Dong fullname: Dong, Yanzhao organization: Department of Orthopedics, the First Affiliated Hospital, School of Medicine, Zhejiang University – sequence: 4 givenname: Haiying surname: Zhou fullname: Zhou, Haiying organization: Department of Orthopedics, the First Affiliated Hospital, School of Medicine, Zhejiang University – sequence: 5 givenname: Zewei surname: Wang fullname: Wang, Zewei organization: Zhejiang University School of Medicine – sequence: 6 givenname: Jingtian surname: Lai fullname: Lai, Jingtian organization: Zhejiang University School of Medicine – sequence: 7 givenname: Chengjun surname: Yao fullname: Yao, Chengjun organization: Zhejiang University School of Medicine – sequence: 8 givenname: Vishnu Goutham surname: Kota fullname: Kota, Vishnu Goutham organization: Zhejiang University School of Medicine – sequence: 9 givenname: Mohamed Hasan Abdulla Hasan surname: Abdulla fullname: Abdulla, Mohamed Hasan Abdulla Hasan organization: Zhejiang University School of Medicine – sequence: 10 givenname: Hui orcidid: 0000-0002-5921-1043 surname: Lu fullname: Lu, Hui email: huilu@zju.edu.cn organization: Department of Orthopedics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Alibaba-Zhejiang University Joint Research Center of Future Digital Healthcare, Zhejiang University
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Keywords	Acral lentiginous melanoma Acral melanoma 肢端黑色素瘤肢端痣 Acral nevus Cutaneous malignant melanoma 溶瘤病毒治疗 Oncolytic virotherapy Dermoscopy 皮肤镜检查肢端雀斑样黑色素瘤皮肤恶性黑色素瘤
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Publisher	Zhejiang University Press Springer Nature B.V Department of Orthopedics,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310003,China%Department of Orthopaedics,Third Xiangya Hospital,Central South University,Changsha 410013,China%Zhejiang University School of Medicine,Hangzhou 310058,China%Department of Orthopedics,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310003,China Alibaba-Zhejiang University Joint Research Center of Future Digital Healthcare,Zhejiang University,Hangzhou 310058,China
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Snippet	Acral melanoma (AM) is the most common histologic subtype of melanoma in dark-skinned patients and is associated with a worse prognosis and a high mortality... Acral melanoma(AM)is the most common histologic subtype of melanoma in dark-skinned patients and is associated with a worse prognosis and a high mortality...
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StartPage	106
SubjectTerms	Biomedical and Life Sciences Biomedicine Chemotherapy Diagnosis Diagnostic systems Health services Histopathology Immune checkpoint inhibitors Melanoma Oncolysis Radiation therapy Review
Title	Recent advancements in the diagnosis and treatment of acral melanoma
URI	https://link.springer.com/article/10.1631/jzus.B2300221 https://www.ncbi.nlm.nih.gov/pubmed/38303495 https://www.proquest.com/docview/2927855457 https://search.proquest.com/docview/2922452900 https://d.wanfangdata.com.cn/periodical/zjdxxbb-e202402003
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