case_images: PMC6369256_01
case_images: Second intervention - Melanocytic anal lesion.
case_images: gr1.jpg
case_images: PMC6369256_01_gr1.jpg
case_images: fig0005
case_images: After a multidisciplinary team discussion, and due to the patient's old age, it was decided to propose a second conservative approach: Wide local excision (WLE) (Fig. 1).
case_images: PET scan revealing RLL pulmonary (circled in black, lower image) and mediastinal nodal (circled in blue, upper and lower image) metastasis.
case_images: gr2.jpg
case_images: PMC6369256_01_gr2.jpg
case_images: fig0010
case_images: Three months later, the follow-up PET-CT scan revealed a pulmonary metastasis at the right lower lobe and mediastinal lymph node involvement (Fig. 2).