Click an information source below to view the case history.
Patient presents with a black discoloration of the right thumb which has recently started bleeding. The edges of the lesion are ragged, and entire lesion is elevated. Palpable right axillary lymph nodes.
Chest X-Ray negative.
LFT, CBC within normal limits.
Radical resection of skin and soft tissue of right thumb; Right axillary sentinel lymph node dissection.
Amputation of distal phalanx of right thumb.
Skin & soft tissue of right thumb: malignant melanoma, poorly differentiated, at least 2.5mm in thickness to the base of specimen. Clark's Level II. No Ulceration present.
Right axillary lymph node dissection: 2 of 5 are positive for melanoma, metastasis 3.5 cm in greatest dimension.
Distal phalanx right thumb, amputation: foci of residual neoplasm found, margins clear, greater than 1 cm.
Surgery: Excision of right thumb lesion and right axillary lymph node dissection.
Surgery: Amputation of distal right thumb phalanx
Immunotherapy: Began Interferon