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DermAtlas: LEG - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: recurrent_memalona_4_090730   File Type: jpg
Diagnosis: MELANOMA, METASTATIC /
MELANOMA
  Category: lumps & bumps (plaques, nodules, tumors) /
neoplasm, malignant
Body Site: leg / foot   Age: 63 years
Contributor: Sherry Guralnick Cohen, CRNP-F    
Description: woody edema, hyperpigmentation, depigmentation, and dark coarse adherent scale with discrete and confluent nodules
Comments: This 63-year-old woman had a primary melanoma on her left great toe 3 years ago. She was lost to followup until recently when she complained of swelling of her left leg. A biopsy of the nodules on her ankle showed melignant melanoma.
Related Images: All related Images  recurrent_memalona_5_090730  recurrent_memalona_3_090730  recurrent_memalona_2_090730  recurrent_memalona_1_090730 

DermAtlas: LEG - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: recurrent_memalona_1_090730   File Type: jpg
Diagnosis: MELANOMA, METASTATIC /
MELANOMA
  Category: lumps & bumps (plaques, nodules, tumors) /
neoplasm, malignant
Body Site: leg / foot   Age: 63 years
Contributor: Sherry Guralnick Cohen, CRNP-F    
Description: woody edema, hyperpigmentation, depigmentation, and dark coarse adherent scale with discrete and confluent nodules
Comments: This 63-year-old woman had a primary melanoma on her left great toe 3 years ago. She was lost to followup until recently when she complained of swelling of her left leg. A biopsy of the nodules on her ankle showed melignant melanoma.
Related Images: All related Images  recurrent_memalona_5_090730  recurrent_memalona_3_090730  recurrent_memalona_2_090730  recurrent_memalona_4_090730 

DermAtlas: LEG - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: recurrent_memalona_2_090730   File Type: jpg
Diagnosis: MELANOMA, METASTATIC /
MELANOMA
  Category: lumps & bumps (plaques, nodules, tumors) /
neoplasm, malignant
Body Site: leg / foot   Age: 63 years
Contributor: Sherry Guralnick Cohen, CRNP-F    
Description: woody edema, hyperpigmentation, depigmentation, and dark coarse adherent scale with discrete and confluent nodules
Comments: This 63-year-old woman had a primary melanoma on her left great toe 3 years ago. She was lost to followup until recently when she complained of swelling of her left leg. A biopsy of the nodules on her ankle showed melignant melanoma.
Related Images: All related Images  recurrent_memalona_5_090730  recurrent_memalona_3_090730  recurrent_memalona_1_090730  recurrent_memalona_4_090730 

DermAtlas: LEG - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: recurrent_memalona_3_090730   File Type: jpg
Diagnosis: MELANOMA, METASTATIC /
MELANOMA
  Category: lumps & bumps (plaques, nodules, tumors) /
neoplasm, malignant
Body Site: leg / foot   Age: 63 years
Contributor: Sherry Guralnick Cohen, CRNP-F    
Description: woody edema, hyperpigmentation, depigmentation, and dark coarse adherent scale with discrete and confluent nodules
Comments: This 63-year-old woman had a primary melanoma on her left great toe 3 years ago. She was lost to followup until recently when she complained of swelling of her left leg. A biopsy of the nodules on her ankle showed melignant melanoma.
Related Images: All related Images  recurrent_memalona_5_090730  recurrent_memalona_2_090730  recurrent_memalona_1_090730  recurrent_memalona_4_090730 

DermAtlas: LEG - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: recurrent_memalona_5_090730   File Type: jpg
Diagnosis: MELANOMA, METASTATIC /
MELANOMA
  Category: lumps & bumps (plaques, nodules, tumors) /
neoplasm, malignant
Body Site: leg / foot   Age: 63 years
Contributor: Sherry Guralnick Cohen, CRNP-F    
Description: woody edema, hyperpigmentation, depigmentation, and dark coarse adherent scale with discrete and confluent nodules
Comments: This 63-year-old woman had a primary melanoma on her left great toe 3 years ago. She was lost to followup until recently when she complained of swelling of her left leg. A biopsy of the nodules on her ankle showed melignant melanoma.
Related Images: All related Images  recurrent_memalona_3_090730  recurrent_memalona_2_090730  recurrent_memalona_1_090730  recurrent_memalona_4_090730 

DermAtlas: Histology - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: melanoma_mucinous_1_070501   File Type: jpg
Diagnosis: MELANOMA, METASTATIC   Category: neoplasm, melanocytic /
neoplasm, metastatic
Body Site: back   Age: 56 years
Contributor: Greg Hosler, MD, PhD    
Description: There is a large, well-demarcated tumor within the deep dermis. The cells are small and basaloid, with a mucinous stroma.
Comments: This is an unusual morphologic variant of melanoma. It has both small-cell and mucinous features, showing how melanoma can truly take on any appearance. This morphology is usually associated with elderly patients. This patient is a little young. She had an acral melanoma two years prior. This was a metastasis to the back and only loosely resembled the invasive component of the original. It was S-100 and MART-1 positive (not shown).
Related Images: melanoma_mucinous_2_070501 

DermAtlas: Histology - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: melanoma_mucinous_2_070501   File Type: jpg
Diagnosis: MELANOMA, METASTATIC   Category: neoplasm, melanocytic /
neoplasm, metastatic
Body Site: back   Age: 56 years
Contributor: Greg Hosler, MD, PhD    
Description: The higher power shows the striking mucinous component to the lesion, resembling a basal cell carcinoma.
Comments: This is an unusual morphologic variant of melanoma. It has both small-cell and mucinous features, showing how melanoma can truly take on any appearance. This morphology is usually associated with elderly patients. This patient is a little young. She had an acral melanoma two years prior. This was a metastasis to the back and only loosely resembled the invasive component of the original. It was S-100 and MART-1 positive (not shown).
Related Images: melanoma_mucinous_1_070501 

DermAtlas: EYE - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: melanoma_1_071031   File Type: jpg
Diagnosis: MELANOMA, METASTATIC /
MELANOMA
  Category: neoplasm, malignant /
radiology
Body Site: eye / eye   Age: 51 years
Contributor: Jerzy Pawlak, MSc,PhD    
Description: A computerised tomographic scan of the orbits with infusion showed a fungating exophytic mass occupying the posterior third of the right vitreous.
Comments: A 51-year-old woman with a known choroidal melanoma (diagnosed 5 years earlier) developed marked visual loss to her right eye due to a massive retinal hemorrhage. The hemorrhage prevented examination of her retina. An ultrasound showed significant tumour growth. A computerised tomographic scan of the orbits with infusion showed a fungating exophytic mass occupying the posterior third of the right vitreous. There was no evidence of extension through the globe.

DermAtlas: ARM - melanoma
© 2001-2009, DermAtlas
Image Name: melanoma_5_020627   File Type: jpg
Diagnosis: MELANOMA /
MELANOMA, METASTATIC
  Category: neoplasm, malignant
Body Site: arm / elbow   Age: 45 years
Contributor: Carmen Coombs, MD    
Description: firm subcutaneous tumor
Comments: A 45 year old woman with a history of a 3 mm thick melanoma on her arm a year earlier developed multiple metastatic tumor nodules
Related Images: All related Images  melanoma_1_020627  melanoma_2_020627  melanoma_3_020627  melanoma_4_020627 

DermAtlas: LEG - melanoma
© 2001-2009, DermAtlas
Image Name: melanoma_4_020627   File Type: jpg
Diagnosis: MELANOMA /
MELANOMA, METASTATIC
  Category: neoplasm, malignant
Body Site: leg / ankle   Age: 45 years
Contributor: Chris Ha, MD    
Description: ulcerated nodules
Comments: A 45 year old woman with a history of a 3 mm thick melanoma on her knee a year earlier developed multiple metastatic tumor nodules
Related Images: All related Images  melanoma_1_020627  melanoma_2_020627  melanoma_3_020627  melanoma_5_020627 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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