In which layer of the skin does malignant melanoma primarily develop?

Prepare for the NBEO Systemic Disease Exam. Use flashcards and multiple-choice questions to test your knowledge. Each question includes hints and explanations. Enhance your understanding and readiness for the exam.

Malignant melanoma primarily develops in the stratum basale, which is the deepest layer of the epidermis. This layer is responsible for the production of new skin cells and contains melanocytes, the cells that produce the pigment melanin. Melanoma originates from these melanocytes due to mutations that can be triggered by various factors, including UV radiation exposure. As these mutated melanocytes proliferate uncontrollably, they can invade neighboring tissues and potentially metastasize to other parts of the body.

The stratum corneum is the outermost layer of the skin and primarily consists of dead skin cells that serve as a barrier. The stratum granulosum is located above the stratum basale and is where keratinization begins, but it is not where melanoma originates. The stratum lucidum is a thin, clear layer found only in certain areas of thick skin, primarily on the palms of the hands and soles of the feet, and is not a site for melanoma development. Therefore, the correct answer focuses on the specific location where the disease initiates, which is the stratum basale, due to the presence of melanocytes.

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