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Giant melanoma on the scalp – clinical image

The lesion had appeared about few years before and it had progressively increased in size. At first, she neglected the problem, but sought medical attention after the mass began bleeding. Physical examinations revealed a malodorous, brown-reddish, firm, bleeding vegetative mass with necrotic areas and purulent exudation (Figs 1a and 1b). The dimension of the tumor was 11 cm x 10 cm x 4 cm. Mild erythema appeared in the surrounding skin. After confirming the melanoma in the histopathological examination, the patient was referred to the Oncological Surgery Department for palliative treatment.