It Looks Like a Zebra but Is Not: [18F]FDG PET/CT in a Giant Cutaneous Malignant Melanoma Mimicking Squamous Cell Carcinoma
2024

A Case of Melanoma That Looked Like Squamous Cell Carcinoma

Sample size: 1 publication Evidence: moderate

Author Information

Author(s): Ilaria Proietti, Giulia Azzella, Diana Dirzu, Claudio Di Cristofano, Oreste Bagni, Concetta Potenza, Luca Filippi, Treglia Giorgio

Primary Institution: Dermatology Unit “Daniele Innocenzi”, “A. Fiorini” Hospital, Italy

Conclusion

The patient showed a remarkable response to targeted therapy for cutaneous malignant melanoma, with significant tumor regression observed within weeks.

Supporting Evidence

  • The patient had a large, ulcerated tumor that was initially misdiagnosed as squamous cell carcinoma.
  • Biopsy confirmed the diagnosis of invasive cutaneous malignant melanoma with a BRAF(V600) mutation.
  • Neoadjuvant therapy led to significant tumor size reduction within one week.
  • Follow-up PET/CT after three months showed a ΔSUVmax of 51.9%, indicating a strong response to treatment.
  • The patient remains under active follow-up with no signs of recurrence.

Takeaway

A woman with a skin cancer that looked like another type of cancer got special medicine that helped her tumors shrink a lot in just a short time.

Methodology

The patient underwent biopsy, PET/CT staging, and neoadjuvant therapy with BRAF and MEK inhibitors.

Limitations

The follow-up period was relatively short, which may limit the assessment of long-term treatment efficacy.

Participant Demographics

The participant was a 66-year-old woman.

Digital Object Identifier (DOI)

10.3390/diagnostics14242860

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