PMC4411598_01
Ulceroproliferative growth on left foot
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F1
The ulceroproliferative growth was hard in consistency and tenderness was present [Figure 1].
Left inguinal lymph adenopathy
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F2
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].
In-transit lymph node
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F3
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].
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
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F4
IV level depth of invasion was seen. Immunohistochemistry showed strong positivity for S-100 [Figure 4].
CECT thorax, with pulmonary metastases
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F5
Another pleural-based nodule was seen on the right side [Figure 5].