Eur J Plast Surg (2013) 36:45–48 DOI 10.1007/s00238-011-0628-4 CASE REPORT Cutaneous melanoma metastases arising in the donor and recipient sites of a skin graft: case report and review of the literature David Wallace & Shakir Hussain & Shivram Singh Received: 28 March 2011 /Accepted: 7 July 2011 /Published online: 13 August 2011 Springer-Verlag 2011 Introduction Case report Malignant melanoma is less common than non-melanoma A primary ulcerated melanoma within a congenital nevus skin cancer but accounts for the majority of deaths from on the right calf, 5.2 mm in thickness, Clark’s level IV, of a skin cancer (about 80%), though only for 2% of total cancer 59-year-old non-insulin-dependent diabetic woman was deaths . The incidence continues to climb, with a two- to treated with a 3-cm-wide local excision and skin graft in threefold increase over the last few decades . The natural July 2006. Fourteen months later, a cutaneous local course of melanoma is correlated with Breslow thickness, recurrence was completely excised. This was followed ulceration, mitotic rate and lymph node status; which can 2 months postoperatively by a right inguinal node dissec- give a likelihood of metastatic spread . The main tion for palpable regional disease (staging CT
European Journal of Plastic Surgery – Springer Journals
Published: Jan 1, 2013
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