Abstract

The initial diagnosis of metastatic melanoma is relatively uncommon, and the 5-year survival rate is less than 15%. We present a case of late melanoma recurrence that manifested as an in-transit metastasis in the iliac bone, occurring two years after the excision of the tumour. In the present case report; A 59 year female was reported to the outpatient department of the medical college & associated hospital. The patients past medical history stated that she is known case of foot melanoma diagnosis and was operated in 2019. In July 2020, the patient developed recurrence in July 2020. A wide local surgical excision to achieve a 2-centimeter margin with skin graft was undertaken with an associated sentinel lymph node biopsy. Upon follow-up, it was discovered that the patient had been disease-free for a full year. However, the lesion started to reoccur in the period of July 2022. A PET-CT of her whole blood was performed. The patient received IV fluids, antibiotics, analgesics, and other supportive care before being released once the hemodynamics were determined to be stable. A 10-year period of disease-free living cannot usually be regarded as a definitive cure for melanoma. Always let your doctor know if you've previously been diagnosed with melanoma.

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