Massive cutaneous nodules in a 92-year-old man

Ferran Ballescá, Aram Boada, Carlos Ferrándiz

 Department of Dermatology, Hospital Universitari Germans Trias I Pujol. Universitat Autònoma de Barcelona, Spain

Correspondence Address:
Ferran Ballescá
Rosselló 474 (08025), Barcelona
Spain

A 92-year-old male was diagnosed with a 5.5 mm depth ulcerated malignant melanoma after excisional biopsy of a lesion on the abdomen. Physical examination revealed a firm, palpable lymph node in his right axilla and fine-needle aspiration biopsy confirmed the diagnosis of nodal melanoma metastasis. The patient and his family refused any other investigations or explorations.

One-and-a-half years later, he presented with more than 200 cutaneous and subcutaneous nodules on the trunk and arms [Figure - 1]. The diagnosis of massive cutaneous metastasis from melanoma was confirmed by a biopsy of one of the lesions. Our patient received supportive care and succumbed to the illness 4 months later.

Figure 1: More than 200 cutaneous and subcutaneous nodules on the upper side of the trunk and arms were found

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The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understand that name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

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Nil.

Conflicts of interest

There are no conflicts of interest.