H/O surgery for right foot malenoma - 2 mths. Today - FNA from right inguinal node. USG to rule out iliac nodes and liver mets.
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LIVER shows multiple well-defined rounded lesion involving all segements. Size range is 10 mm to 30 mm. Larger lesions shows target appearance. Smaller lesions are hypoechoic. Vascularity is noted in lesions.
No para-aortic lymphadenopathy is seen.
Two ovoid hypoechoic nodes are noted in right extenal iliac region with loss of hilar fat.
39 x 15 mm ovoid lesion is noted in cranial part of RIGHT popliteal fossa - Metastatic lesion.
Histopathology - right inguinal node - melanoma.
- Sonography for Locoregional Staging and Follow-up of Cutaneous Melanoma. How We Do It Orlando Catalano, MD, et al J Ultrasound Med 2010; 29:791–802
- Previously Reported Sonographic Appearances of Regional Melanoma Metastases Are Not Likely Due to Necrosis Orlando Catalano et al J Ultrasound Med 2011; 30:1041–1049