Przerzuty czerniaka złośliwego do skóry brzucha i klatki piersiowej imitujące infekcję wirusem herpes zoster – opis przypadku

Abstract

Introduction. Melanoma is a malignant neoplasm of melanocytic origin.The risk of melanoma among the white race in Europe and USA isfrom 1/100 000 to 1/200 000.Objective. To present a case with multiple melanoma metastases to theskin of the thorax and abdomen with an atypical clinical picture mimickingherpes zoster infection.Case report. Male patient 77 years old. The primary lesion – a darkbrown nodule, 2 cm in diameter – appeared half a year earlier. Underlocal anaesthesia, the nodule was removed with a 3 cm skin margin.Two months later, multiple, non-painful, brown nodules appeared onthe left part of the chest and abdomen and were diagnosed as herpeszoster. The histopathological examination revealed melanoma metastases.Conclusions. We present a case of very fast appearance of malignantmelanoma metastases, resembling herpes zoster infection. Althoughsuch a picture is rare, it is important to take this diagnosis into accountin patients with “zoster” with no pain, resistant to antiviral treatment,and especially in patients with known melanoma history.

Keywords

• melanoma malignum
• metastases
• herpes zoster