Zosteriform Cutaneous Distant Metastases as Onset of Relapsing Melanoma
Citation: Morgado-Carasco D, Ferndez-Sartorio C, Carrera C. Zosteriform cutaneous distant metastases as onset of relapsing melanoma. Dermatol Pract Concept. 2020;10(1):e2020007. DOI: https://doi.org/10.5826/dpc.1001a07
Accepted: September 13, 2019; Published: December 31, 2019
Copyright: 2019 Morgado-Carasco et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: None.
Competing interests: The authors have no conflicts of interest to disclose.
Authorship: All authors have contributed significantly to this publication.
Corresponding author: Cristina Carrera, MD, PhD, Melanoma Unit, Department of Dermatology, Hospital Clic de Barcelona, Barcelona, Spain. Email: ccarrera@clinic.cat
Case Presentation
A 66-year-old man with a history of an ulcerated melanoma on the lumbar region, Breslow index 2.9 mm, with regional lymph node involvement, presented with pinkish papules on his forehead 5 months after the initial surgery. The lesions rapidly evolved into multiple coalescent papulonodules forming a zosteriform plaque on his forehead (
Figure 1
). Skin biopsy confirmed the diagnosis of cutaneous melanoma metastases.
Teaching Point
Zosteriform metastases are rare, with only about 60 cases reported, and melanoma is one of the most frequent neoplasms implicated
[
1
,
2
]
. Physicians should suspect this infrequent form of skin metastases even when lesions are distant from the primary site.
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Figure 1 .
Metastatic melanoma. Multiple coalescent papulonodules forming a zosteriform plaque on the forehead.