Extracutaneous melanomas can be easily missed: the scalp, nail beds, interdigital folds, and perianal skin deserve close inspection during a routine exam.(Cutaneous Oncology)

SAN DIEGO -- Extracutaneous melanomas are rare--they make up only 15% of all melanomas--but small primary lesions can be easily overlooked during a routine skin exam, according to one expert.

Sites that require close inspection include the scalp, nail beds, interdigital folds, and perianal skin. These areas "are easily accessible to clinical exam and can make a big difference for your patients," Dr. Terence C. O'Grady said at an update on melanoma sponsored by the Scripps Clinic.

The most commonly affected sites for extracutaneous melanoma include the ocular or juxtacutaneous mucosal membranes, said Dr. O'Grady, who directs the dermatology residency program at the ...

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