WSI23-111-Case-8
Case #8 - The patient is a 76-year-old female with a history of a Stage IB (T1bN0) melanoma of the left lower leg diagnosed in 5 years ago and treated by wide excision. At the time, sentinel lymph node biopsy was negative for malignancy. In the interim, she has had in-transit metastases identified in the left leg which have been excised. She has no history of renal disease or peripheral vascular disease. Relevant laboratory results: Creatinine 0.66 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 9.3 mg/dL (reference interval 8.5-10.5 mg/dL. Phosphate and PTH were not determined. She is now presenting with a painless nodule lateral to the well-healed pre-tibial incision (see clinical photograph #8 below). An excisional biopsy is performed.
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December 31, 1969 7:00:00 PM
