PMC6369256_01
Second intervention - Melanocytic anal lesion.
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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).
PET scan revealing RLL pulmonary (circled in black, lower image) and mediastinal nodal (circled in blue, upper and lower image) metastasis.
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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).