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Case 195: Bleeding Skin Lesion

This man had noticed this lesion growing and occasionally bleeding for the past 12 months.

1. What is the primary abnormality demonstrated?

A large ulcerated cutaneous malignancy

2. What two secondary lesions can be seen?

Satellite lesions close to the primary and also posterior triangle lymphadenopathy.

The presence of satellite lesions is more common with melanoma, than other cutaneous malignancies. This lesion was an amelanotic melanoma.