MATRIX SUPPORT IN DERMATOLOGY AS A DISTINCT FACTOR IN THE TRAINING OF A FAMILY DOCTOR: TWO ACRAL LENTIGINOUS MELANOMA CASE REPORTS

Introduction: Acra Lentiginous Melanoma l (ALM) is a melanoma subtype with distinct differences in the observed frequencies between ethnic groups. ALM is only 2% -8% of melanomas in Caucasians, but represents the most common in darker-pigmented individuals (60% -72% african-Americans and 29% -46% Asian). ALM is diagnosed more often in an older population, with the average age of onset 65 years. The most common place for ALM is sole. There is often a delay in diagnosis of this cancer that is often mistakenly diagnosed as a plantar wart or hematoma, leading to a more advanced lesions at diagnosis associated with worse outcome. Objective: To make primary care physicians health as these possible diagnosis reporting two cases of acral lentiginous melanoma diagnosed in the Santa Marta’s Family Clinic through matricial focused on dermatology for medical residency. Methods: Report of two cases diagnosed in primary heath care, including photographic records, with a brief summary of the literature on the subject. Results and conclusions: The matricial in Dermatology proved important for the detection of unusual malignant lesions, contributing to training of resident physician general practitioner, improving clinical suspicion and quality of care.