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Complete Regression Of Primary Cutaneous Malignant Melanoma Associated With Distant Lymph Node Metastasis: A Teaching Case Mimicking Blue Nevus

Yamada et al., 2016Melanoma

Yamada, S., Nawata, A., Yoshioka, M., Hiraki, T., Higashi, M., Hatanaka, K., & Tanimoto, A. (2016). Complete regression of primary cutaneous malignant melanoma associated with distant lymph node metastasis: a teaching case mimicking blue nevus. BMC research notes, 9, 366. https://doi.org/10.1186/s13104-016-2174-4

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Abstract

Careful, not only general/cutaneous but histopathological, examinations should be necessary and adjunctive aids for reaching the correct diagnosis of complete regression of cutaneous MM.

Case Details

Disease Location

Right sole foot

Personal Characteristics

65 yho male

Clinical Characteristics

Gradually growing and verrucous hypopigmented macule measuring up to 20 mm in the right sole. In parallel, the patient had a rapidly growing black-pigmented mass lesion at the right inguen. Mallignant melanoma with inguinal lymph nodes was suspected. Immunohistochemical studies of the lesion in the sole showed highly atypical mm cells. Microspcoy showed the absence of residual foci of the mms

Remission Characteristics

Primary regression without treatment, inguinal metastases were well controlled with systemic therapy.

Treatment & Mechanisms

Proposed Remission Mechanisms

None offered

Clinical Treatment

Biopsy 2 years post-operative treatment of chemotherapy, including dacarbazine, nimustine, cisplatin, tamoxifen, (dac-tam) and interferon-β, recurrence of small