{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T05:56:55Z","timestamp":1774591015888,"version":"3.50.1"},"reference-count":9,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T00:00:00Z","timestamp":1772409600000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Acral lentiginous melanoma (ALM) with pleural metastases is rare and under\u2010recognised. We report an 86\u2010year\u2010old woman with progressive dyspnoea and pleuritic chest pain. 18\u2009months ago, she was diagnosed with stage IIC ALM of the right heel, and was treated with wide local excision, but she declined adjuvant therapy. Imaging demonstrated a large left pleural effusion with diffuse pleural thickening, pulmonary mass, and hepatic metastases. Brownish pleural fluid, along with thoracoscopic identification of multiple pigmented nodules, led to a histologically confirmed diagnosis. Talc pleurodesis was performed for symptom control, and best supportive care was pursued. This case highlights the diagnostic value of medical thoracoscopy in identifying pleural melanoma metastases and emphasises the need to consider melanoma recurrence when pigmented effusions are encountered.<\/jats:p>","DOI":"10.1002\/rcr2.70531","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T14:55:23Z","timestamp":1772981723000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pleural Metastases From Acral Lentiginous Melanoma Diagnosed by Medical Thoracoscopy"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1592-9119","authenticated-orcid":false,"given":"Ad Rian","family":"Chong","sequence":"first","affiliation":[{"name":"Division of Respiratory Medicine, Department of Internal Medicine Melaka Hospital  Melaka Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9868-1398","authenticated-orcid":false,"given":"Khai Lip","family":"Ng","sequence":"additional","affiliation":[{"name":"Division of Respiratory Medicine, Department of Internal Medicine Melaka Hospital  Melaka Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2671-4189","authenticated-orcid":false,"given":"Nai\u2010Chien","family":"Huan","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Queen Elizabeth Hospital  Kota Kinabalu Malaysia"},{"name":"Centre for Innovative Pleural Research, Sir Charles Gairdner Hospital  Perth Australia"},{"name":"School of Medical and Health Sciences Edith Cowan University  Perth Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nur Husna","family":"Mohd Aminudin","sequence":"additional","affiliation":[{"name":"Division of Respiratory Medicine, Department of Internal Medicine Melaka Hospital  Melaka Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fazilah","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Pathology Melaka Hospital  Melaka Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6068-2773","authenticated-orcid":false,"given":"Kasuma","family":"Mohamed Nordin","sequence":"additional","affiliation":[{"name":"Division of Respiratory Medicine, Department of Internal Medicine Melaka Hospital  Melaka Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.0867\u201018"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.5430\/jst.v8n2p7"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.5578\/tt.202403963"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ced\/llaf501"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.137.2.293"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sult.2017.07.007"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjaf144"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2024.1323933"},{"key":"e_1_2_9_10_1","volume-title":"StatPearls [Internet]","author":"Heistein J. 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