01 February 2006
An Ultra-Late Recurrence of Malignant Melanoma Presenting as a Pelvic MassCharles M. Edwards, Deborah Humphrey, Roberto Garcia, Cuc Mai
Case Rep Clin Pract Rev 2006; 7:30-32 :: ID: 446791
Background: Melanoma is a common disease that may present in non-cutaneous sites and recur many years
after initial diagnosis. These characteristics can make diagnosis and long-term management a challenge for physicians.
Case Report: This case involves a patient who experienced a recurrence of melanoma in the form of a large pelvic mass 35 years after an initial diagnosis and treatment of cutaneous disease. The presentation
of melanoma as a pelvic lesion is highly unusual, and the disease free interval experienced by this patient was the longest we found noted in the medical literature.
Conclusions: Physicians should be aware that melanoma may recur many years after initial diagnosis, and
involve numerous non-cutaneous sites. Unfortunately, there are no good recommendations for long-term screening.
Keywords: malignant melanoma, Pelvic mass, Ultra-late recurrence
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