**Core Concept**
Lentigo maligna melanoma (LMM) is a subtype of melanoma that typically arises from chronic sun-damaged skin, particularly in older individuals. It is characterized by the gradual accumulation of atypical melanocytes in the epidermis and dermal-epidermal junction.
**Why the Correct Answer is Right**
LMM often develops on sun-exposed areas of the skin, such as the face, particularly on the cheeks, nose, and forehead. The chronic UV radiation exposure leads to the formation of solar elastosis, which provides a fertile ground for the development of LMM. The lentiginous melanocytes in LMM often exhibit a radial growth phase, where they infiltrate the epidermis and dermal-epidermal junction, before eventually invading deeper into the dermis.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because LMM is not typically associated with the scalp, which receives less UV radiation compared to the face.
**Option B:** This option is incorrect because LMM is not commonly found on the trunk, which is more often associated with other types of melanoma.
**Option C:** This option is incorrect because LMM is not typically associated with the mucous membranes, which are more often affected by other types of melanoma.
**Clinical Pearl / High-Yield Fact**
It's essential to remember that LMM often presents as a brown or black macule on the face, which may be mistaken for benign pigmentation. A thorough clinical examination and histopathological evaluation are necessary to confirm the diagnosis.
**Correct Answer:** C. Face, particularly the cheeks, nose, and forehead.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.