Malignant Melanoma: Case Report and Review of the Literature

A 65 year-old male patient, natural and comming from Piura (North of Peru), farmer, who 5 years prior to hospitalization presents a hyperpigmented and indurated macule of 1 cm of diameter at right heel level which was extracted by a doctor of the area because apparent inflammation. In addition, the patient presented lesions of similar characteristics at right ankle level, aproximately 8 in number (Figure 1). Patient refers he didn’ t recieve any diagnosis in that opportunity and denies discomfort until 6 months prior to be admitted to our hospital. He presented a nodular lesion of 0.5 cm in right inguinal region, slightly painful, which was manipulated with the purpose of extraction. Described lesion progresses and grows becoming erythematous, with necrotic zones, producing great amount of pain. Two months prior to hospitalization the lesion turns black and about 8 cm long with secretion production (Figure 2).