An 85-year-old man was referred to our department for a nonhealing lesion of approximately 3 months' duration on the right side of his lower back (Fig 1). Agminated papules were also noted in the genitocrural region (Fig 2).
1.Given the clinical presentation, what is the best diagnosis?
A.Agminated Spitz nevi
B.Fabry disease
C.Agminated leiomyomas
D.Lymphomatoid papulosis
E.Agminated metastatic melanoma
2.What stage would you report in a patient with a 5.8-mm deep, ulcerated nodular melanoma, four microscopically positive nodes, and no sign of distant spread?
aDepartment of Dermatology, Geisinger Medical Center, Danville, Pennsylvania
bDepartment of Pathology, Geisinger Medical Center, Danville, Pennsylvania
Reprint requests: Nektarios I. Lountzis, MD, Department of Dermatology, Geisinger Medical Center, 115 Woodbine Ln, Mail Code 52-06, Danville, PA 17822.
Funding sources: None.
Conflicts of interest: The authors, editors, and peer reviewers have no relevant financial relationships.
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