case_images: PMC4411598_01
case_images: Ulceroproliferative growth on left foot
case_images: JCAS-8-60-g001.jpg
case_images: PMC4411598_01_JCAS-8-60-g001.jpg
case_images: F1
case_images: The ulceroproliferative growth was hard in consistency and tenderness was present [Figure 1].
case_images: Left inguinal lymph adenopathy
case_images: JCAS-8-60-g002.jpg
case_images: PMC4411598_01_JCAS-8-60-g002.jpg
case_images: F2
case_images: Lymph node examination showed multiple inguinal lymph nodes on the left side, which were hard in consistency and measured 2 x 2 cm, with in-transit metastasis on the left leg [Figures 2 and 3].
case_images: In-transit lymph node
case_images: JCAS-8-60-g003.jpg
case_images: PMC4411598_01_JCAS-8-60-g003.jpg
case_images: F3
case_images: Lymph node examination showed multiple inguinal lymph nodes on the left side, which were hard in consistency and measured 2 x 2 cm, with in-transit metastasis on the left leg [Figures 2 and 3].
case_images: Histopathologic examination shows features of desmoplastic melanoma, both in low and high magnification, with eosin and hematoxylin staining. Last image shows positivity for S100 immunohistochemistry
case_images: JCAS-8-60-g004.jpg
case_images: PMC4411598_01_JCAS-8-60-g004.jpg
case_images: F4
case_images: IV level depth of invasion was seen. Immunohistochemistry showed strong positivity for S-100 [Figure 4].
case_images: CECT thorax, with pulmonary metastases
case_images: JCAS-8-60-g005.jpg
case_images: PMC4411598_01_JCAS-8-60-g005.jpg
case_images: F5
case_images: Another pleural-based nodule was seen on the right side [Figure 5].