case_images: PMC3350220_01
case_images: Keloid appearance at presentation. (methylene blue injection for sentinel lymph node biopsy).
case_images: CRIM.SURGERY2012-165319.001.jpg
case_images: PMC3350220_01_CRIM.SURGERY2012-165319.001.jpg
case_images: fig1
case_images: Thus, a two-stage surgical procedure was performed with initial resection of the primary site including the entire keloid with 2 cm margins and bilateral axillary sentinel node biopsy (Figures 1, 2, and 3).
case_images: Surgical defect measuring 145 cm2.
case_images: CRIM.SURGERY2012-165319.002.jpg
case_images: PMC3350220_01_CRIM.SURGERY2012-165319.002.jpg
case_images: fig2
case_images: Thus, a two-stage surgical procedure was performed with initial resection of the primary site including the entire keloid with 2 cm margins and bilateral axillary sentinel node biopsy (Figures 1, 2, and 3).
case_images: Axillary sentinel lymph node biopsy.
case_images: CRIM.SURGERY2012-165319.003.jpg
case_images: PMC3350220_01_CRIM.SURGERY2012-165319.003.jpg
case_images: fig3
case_images: Thus, a two-stage surgical procedure was performed with initial resection of the primary site including the entire keloid with 2 cm margins and bilateral axillary sentinel node biopsy (Figures 1, 2, and 3).
case_images: (a) Surgical specimen for pathology. (b) Desmoplastic melanoma (left arrow) and dermal scar (right arrow). (c) High-power view of desmoplastic melanoma.
case_images: CRIM.SURGERY2012-165319.004.jpg
case_images: PMC3350220_01_CRIM.SURGERY2012-165319.004.jpg
case_images: fig4
case_images: Final pathology revealed desmoplastic melanoma occurring in the keloid with clear radial margins and a deep margin within 0.1 cm of the resection (Figures 4(a), 4(b), and 4(c)).
case_images: Partial-thickness skin graft after complete healing.
case_images: CRIM.SURGERY2012-165319.005.jpg
case_images: PMC3350220_01_CRIM.SURGERY2012-165319.005.jpg
case_images: fig5
case_images: The partial thickness skin graft had a 100% take (Figure 5).