X.1.1 Melanoma of sole of foot with metastases in inguinal nodes

  • Specimens belonged to a 67 year old, female with a history of a painless inguinal lump for 3 months duration.
  • Macroscopy of this lump is shown on right side.
  • There are two similar lumps, each 5×3 cm in size.
  • The entire tissue is homogeneously black with thin, pale transparent covering and small tags of connective tissue outer to the transparent covering.
  • The histology shows a lymph node completely replaced by metastatic deposits of a melanoma.
  • The specimen of the left side is tissue from the sole of the foot.
  • It has specks of blackish discolouration on the outer surface but an intense dark line is very well seen on the cut surface just beneath the thick, keratinized skin.
  • Histology of this lesion showed a melanoma.
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