A common missed diagnosis: acral melanoma

Some pathological processes can appear in anatomical locations that make their diagnosis difficult and can lead to misdiagnosis. Acral melanoma is commonly found on the palms, soles, under the nails, oral mucosa and mucous membranes.  The presentation under the nails or in the soles, are especially prone to a delay in diagnosis.

Here we show a melanoma on the sole of the foot at an advanced stage due to late diagnosis.