A 30-year history of CD4+ vesiculo-bullous mycosis fungoides and multiple visceral malignancies.

An 83-year-old Caucasian woman presented with a 25-year history of an itchy, eczematous blistering eruption affecting her trunk and acral sites. She had a past history of adenocarcinoma of the lung, colorectal carcinoma and bladder carcinoma. Several skin biopsies consistently showed features of a spongiotic process.

Surgical margins for lentigo maligna and lentigo maligna melanoma: the technique of mapped serial excision.

Objectives: To assess the margins required for excision of lentigo maligna (LM) and lentigo maligna melanoma (LMM) by the technique of mapped serial excision (MSE), and to assess the efficacy of MSE.

Design: An interventional, prospective, noncontrolled case series.

Setting: Tertiary referral, dermatologic surgery unit.