Periocular Lentigo Maligna: To Treat or Not to Treat?

Abstract

Lentigo maligna (LM) affecting the periocular skin represents a challenge in its diagnosis and management. LM has a very slow rate of malignant transformation; however, with our aging population the progression towards malignant melanoma is concerning and can have potential life threatening consequences. We present a case of a 79-year-old male with a suspicious LM, who underwent surgical excision and reconstruction, to discuss the treatment options and suggest guidelines when confronting these controversial cases.

Keywords

• Lentigo maligna, lentigo maligna melanoma, melanoma, margin control, eyelid reconstruction