Back issues No.3 - 1987 / Case Report  

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Metastatic Malignant Melanoma: A Report of Two Clinical Forms
Hui-Ching Chang, Heng-Leong Chan, Yue-Zon Kuan, Tseng-Tong Kuo
Dermatol Sinica 5: 177-182, 1987

This report describes two different clinical forms of cutaneous metastases from acral lentiginous melanoma of the foot. One patient presented with multiple erythematous papules and nodules while the other patient presented with multiple black lesions. The clinical diagnosis was easily made in the latter case, but the diagnosis of the former one was not apparent until the lesion was biopsied and studied histopathologically. Our cases illustrate that cutaneous metastases from malignant melanoma can manifest in different forms. The metastatic melanoma lesions which are lacking in pigment require high index of suspicion followed by careful search for possible primary lesion, which is often neglected by the physicians.

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