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  Vol. 148 No. 1, January 2012 TABLE OF CONTENTS
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VIGNETTES
An Acrochordon-Like Melanoma Metastasis

Kathleen Mattson Kollitz, BS; Win Janet Tcheung, MD; Randall P. Scheri, MD; Maria Angelica Selim, MD; Kelly Carter Nelson, MD

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Acrochordons are generally assumed to be benign and might not be submitted for pathologic analysis. One study of 1335 clinically diagnosed acrochordons found only 5 malignant tumors.1 Both squamous cell carcinoma and basal cell carcinoma have been reported in acrochordon-like lesions.1-2 We report herein a case of acrochordon-like melanoma metastasis.

Report of a Case

A 77-year-old white woman was diagnosed as having a melanoma in 1986. Although these medical records were unavailable for review, she self-reported receiving therapeutic excision with primary closure of the left arm and left back sites. Her skin condition remained within normal limits until December 2009, when she developed multiple-pinpoint blue-brown "blood blister" lesions on her trunk and extremities, which grew in diameter and number over the following 6 months. At this time a skin tag–like lesion of the right . . . [Full Text of this Article]


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AUTHOR INFORMATION
Author Affiliations: Duke University School of Medicine (Ms Kollitz) and Departments of Dermatology (Drs Tcheung, Selim, and Nelson), Surgery (Dr Scheri), and Pathology (Dr Selim), Duke University Medical Center, Durham, North Carolina.



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