UPMC Dermatopathology

UPMC Dermatopathology "Case of the Month" Presentations

UPP - Department of Dermatology, Dermatopathology Unit

5230 Centre Avenue (412) 864-3860          Pittsburgh, PA 15213 (412) 864-3890 FAX


Authors: Philina M. Lamb, M.D., Michael Zhang, M.D., PhD., and Drazen Jukic M.D., PhD.

OCTOBER 2003 CASE OF THE MONTH


FINDINGS

An 84-year old white female presented to the surgery clinic for re-excision of a melanoma-in-situ involving her left upper arm. Incidentally, she was noted to have a 0.7 x 0.4 cm dark blue nodule on the left elbow. The patient did not recall how long the lesion had been present; however, she states it was not present during childhood. The lesion had no associated enlargement, pain, or hyperhidrosis. Because the patient had a history of melanoma-in-situ involving the same extremity, the nodule was elliptically excised and sent for histologic examination to rule out a primary malignant melanoma, a metastatic malignant melanoma, or a hematoma.

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