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Acrolentiginous Melanoma (ALM)

Melanoma arising on the non-hair-bearing areas of the palms and soles. Around the focus of invasive primary melanoma, an extensive area of lentiginous change in the epidermis is present. Acral lentiginous melanomas are very rare in children but are the most common variety in pigmented races. Primary melanomas arising on the mucosal surface of the oral cavity or the anogenital areas have some features in common with the acral lentiginous melanoma, and the term ’palmoplantar mucosal melanoma’ is sometimes used to describe the entire group.

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