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Published 14 April 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.07.2008.0433]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Rare disease

In-transit metastasis of the breast region from malignant melanoma of the trunk

Mehmet Uludag1, Bülent Citgez1, Ozay Ozkaya2, Damlanur Sakiz3

1 Sisli Etfal Training and Research Hospital, 2nd General Surgery, Etfal Sok. No. 1, Istanbul, 34360, Turkey
2 Sisli Etfal Training and Research Hospital, Plastic Surgery, Etfal Sok. No. 1, Istanbul, 34360, Turkey
3 Sisli Etfal Trainig and Research Hospital, Pathology, Etfal Sok. No. 1, Istanbul, 34360, Turkey

Correspondence to:
Bülent Citgez, bcitgez{at}yahoo.com

SUMMARY

Extramammarian cancer metastases to the breast are rare. Melanoma is one of the malignancies that can metastasise to the breast. The distinction between a primary breast carcinoma and a metastatic neoplasm is crucial because surgical and therapeutic treatment options will vary accordingly. The present report concerns a case of breast metastasis from melanoma of the trunk. A 50-year-old man with a self-detected left breast lump who had previously undergone wide local excision and axillary dissection for melanoma was admitted to our department. Ultrasonography showed an 0.8 cm hypoechoic nodule with silent margins. The palpable mass was excised. Surgical pathology revealed metastatic melanoma.


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