A Case Of Malignant Melanoma in Pregnancy

Patrick J Keating



This patient was a 33 year old, gravida 5, para 4, which is a little high in our country.  She had noticed a brown-pigmented mole on her leg, which she had had for about two years.  She had shown this to some healthcare workers, but they had reassured her.  At 17 weeks pregnancy it was becoming quite large and ulcerated and she was referred to see a plastic surgeon, who undertook an excisional biopsy and this confirmed the diagnosis of malignant melanoma.  There are various ways of classifying melanoma. The Breslow classification is thought to be the most prognostic, particularly for deeply invading lesions as this one was, measuring 6.2mm. This corresponds to Stage 2C, or Clarke’s level V.

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