In-transit metastasis from melanoma presenting as lymphangiectasis: a case report

Cutis. 2009 Sep;84(3):151-8.

Abstract

Malignant melanoma as a cause of inflammatory metastasis to the skin is a rare phenomenon referred to as in-transit metastasis (ITM). We report an unusual case of a patient who developed left leg lesions resembling lymphangiectasis. Punch biopsy results revealed atypical cells consistent with melanoma. The patient had a history of high-risk melanoma involving the left side of the lower extremity. This case highlights the need for a high index of suspicion for ITM in patients with a history of melanoma. Therapeutic options are discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy / methods
  • Humans
  • Inflammation / etiology
  • Inflammation / pathology
  • Leg / pathology
  • Lymphangiectasis / diagnosis*
  • Male
  • Melanoma / diagnosis*
  • Melanoma / pathology
  • Melanoma / therapy
  • Neoplasm Metastasis
  • Skin Neoplasms / diagnosis*
  • Skin Neoplasms / pathology
  • Skin Neoplasms / secondary