• 1.

    Karimkhani C , Green AC , Nijsten T , Weinstock MA , Dellavalle RP , Naghavi M , Fitzmaurice C , 2017. The global burden of melanoma: results from the Global Burden of Disease Study 2015. Br J Dermatol 177: 134140.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Urban K , Mehrmal S , Uppal P , Giesey RL , Delost GR , 2021. The global burden of skin cancer: a longitudinal analysis from the Global Burden of Disease Study, 1990–2017. JAAD Int 2: 98108.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Basurto-Lozada P et al.2021. 2020. Acral lentiginous melanoma: basic facts, biological characteristics and research perspectives of an understudied disease. Pigment Cell Melanoma Res 34: 5971.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Jenkins RW , Fisher DE , 2021. Treatment of advanced melanoma in 2020 and beyond. J Invest Dermatol 141: 2331.

  • 5.

    Honeyman CS , Wilson P , 2016. Patient with giant upper limb melanoma presenting to a UK plastic surgery unit: differentials and experience of management. BMJ Case Rep 2016: bcr-2015-212253.

    • Search Google Scholar
    • Export Citation
  • 6.

    Ching J , Gould L , 2012. Giant scalp melanoma: a case report and review of the literature. Eplasty 12: e51.

  • 7.

    di Meo N , Stinco G , Gatti A , Errichetti E , Bonin S , Albano A , 2014. Giant melanoma of the abdomen: case report and revision of the published cases. Dermatol Online 20: 13030/qt4pp2825w.

    • Search Google Scholar
    • Export Citation
  • 8.

    Tseng WW , Doyle JA , Maguiness S , Horvai AE , Kashani-Sabet M , Leong SPL , 2009. Giant cutaneous melanomas: evidence for primary tumour induced dormancy in metastatic sites? Case Reports 2009: bcr0720092073.

    • Search Google Scholar
    • Export Citation
  • 9.

    Pai R , Kini H , Kamath SG , Kumar S , 2008. Giant hanging melanoma of the eyelid skin. Indian J Opthalmology 56: 239240.

  • 10.

    Kruijff S , Vink R , Klaase J , 2011. Salvage surgery for a giant melanoma on the back. Rare Tumors 3: 9091.

  • 11.

    Sung H , Ferlay J , Siegel RL , Laversanne M , Soerjomataram I , Jemal A , Bray F , 2021. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 71: 209249.

    • Search Google Scholar
    • Export Citation
  • 12.

    Asuquo M , Ebughe G , 2009. Cutaneous cancers in Calabar, southern Nigeria. Dermatol Online J 15: 11.

  • 13.

    Mulenga M , Montgomery ND , Chagomerana M , Mzumala T , Tomoka T , Kampani C , Fedoriw Y , Gopal S , Sviland L , 2019. Epidemiological and histopathological profile of malignant melanoma in Malawi. BMC Clin Pathol 19: 16.

    • Search Google Scholar
    • Export Citation
  • 14.

    Meara JG et al.2015. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet 386: 569624.

  • 15.

    World Health Organization , 2021. A Strategic Framework for Integrated Control of Skin-Neglected Tropical Disease. Geneva, Switzerland: WHO.

    • Search Google Scholar
    • Export Citation
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Case Report: Acral Melanoma with Giant Local Recurrence in Rural Sierra Leone

Harry PutnamMasanga Hospital, Masanga, Tonkolili District, Sierra Leone;
Masanga Medical Research Unit (MMRU), Masanga, Tonkolili District, Sierra Leone;

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Alexandra TurnbullMasanga Hospital, Masanga, Tonkolili District, Sierra Leone;
Masanga Medical Research Unit (MMRU), Masanga, Tonkolili District, Sierra Leone;

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James BanguraMasanga Hospital, Masanga, Tonkolili District, Sierra Leone;
Masanga Medical Research Unit (MMRU), Masanga, Tonkolili District, Sierra Leone;

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Panagiota KitsantaHistopathology Department, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom;

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Martin P. GrobuschMasanga Medical Research Unit (MMRU), Masanga, Tonkolili District, Sierra Leone;
Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam University Medical Centers, Amsterdam Infection & Immunity, Amsterdam Public Health, University of Amsterdam, Amsterdam, The Netherlands

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Jan H. DubbinkMasanga Hospital, Masanga, Tonkolili District, Sierra Leone;
Masanga Medical Research Unit (MMRU), Masanga, Tonkolili District, Sierra Leone;
Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam University Medical Centers, Amsterdam Infection & Immunity, Amsterdam Public Health, University of Amsterdam, Amsterdam, The Netherlands

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ABSTRACT.

Malignant melanoma is rare in West Africa. Few cases of giant melanoma have been reported globally. We present a case of acral melanoma with giant local recurrence on the foot of a black-skinned woman from rural Sierra Leone, managed with below-knee amputation. Atypical, late presentation, poor access to diagnostics, and underreporting may contribute to underappreciation of melanoma as a healthcare problem in West Africa. This case highlights the need for improved cancer and skin health surveillance structures in West Africa—most importantly, increasing access to histopathology.

Author Notes

Address correspondence to Harry Putnam, 140/2 Dundas Street, Edinburgh, United Kingdom, EH3 5DQ. E-mail: putnamhwi@gmail.com

Authors’ addresses: Harry Putnam, Alexandra Turnbull, James Bangura, and Jan Henk Dubbink, Masanga Medical Research Unit, Masanga Hospital, Tonkolili District, Sierra Leone, E-mails: putnamhwi@gmail.com, alexandraturnbull2@gmail.com, jashebangs@gmail.com, and janhenkdubbink@gmail.com. Panagiota Kitsanta, Histopathology Department, Royal Hallamshire Hospital, Sheffield, United Kingdom, E-mail: panagiota.kitsanta@nhs.net. Martin P. Grobusch, Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam University Medical Centers, Amsterdam, The Netherlands, E-mail: m.p.grobusch@amsterdamumc.nl.

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