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Acral lentiginous melanoma (ALM) is a type of skin cancer. It typically begins as a uniform brownish mark before becoming darker and wider with a blurred, irregular border. ALM is most frequently seen on the foot of a person with darker skin but can also be found in non-sun exposed areas such as the palms, soles, and under finger and toenails. It may become bumpy and ulcerate. When under the nail it typically appears as dark longitudinal streaks. As it grows, ALM may also spread to other areas of the body.
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