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A Solitary Subcutaneous Nodule as a Presenting Sign of Metastatic Malignant Melanoma

SARIG, A. M.D.¹; TAUBE, E. M.D.²; KAPLAN, I. M.D.³; BEN-BASSAT, M. M.D.⁴

¹ A. Sarig, M.D. (Lecturer), is from the Department of Plastic and Maxillo-facial Surgery, Beilinson Medical Center, Petah Tikva, and the Chilowitz Chair of Plastic Surgery, Tel Aviv University, Israel.

² E. Taube, M.D. (Professor of Plastic Surgery), is from the Department of Plastic and Maxillo-facial Surgery, Beilinson Medical Center, Petah Tikva, and the Chilowitz Chair of Plastic Surgery, Tel Aviv University, Israel.

³ I. Kaplan, M.D. (Professor of Plastic Surgery), is from the Department of Plastic and Maxillo-facial Surgery, Beilinson Medical Center, Petah Tikva, and the Chilowitz Chair of Plastic Surgery, Tel Aviv University, Israel.

⁴ M. Ben-Bassat, M.D. (Senior Lecturer) is from the Department of Plastic and Maxillo-facial Surgery, Beilinson Medical Center, Petah Tikva, and the Chilowitz Chair of Plastic Surgery, Tel Aviv University, Israel.

Reprints are not available.

The Journal of Dermatologic Surgery and Oncology 10(2):p 133-135, February 1984. | DOI: 10.1111/j.1524-4725.1984.tb01198.x

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Abstract

Two patients were referred because of an innocent-appearing solitary subcutaneous nodule; excision revealed metastasis of malignant melanoma, but comprehensive investigation failed to disclose the primary tumor. In neither patient was there subsequent evidence of local recurrence but both died of disseminated disease—the first 2 years and the second 10 months after the excision.