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"textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a 79-year-old man with a history of colon adenocarcinoma. The patient consulted for a lesion on the back that appeared a year ago, which had grown and bled. The physical examination revealed a blackish swelling measuring 2.5<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>3.5<span class="elsevierStyleHsp" style=""></span>cm on the back (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a), as well as numerous surrounding bluish satellite lesions and skin infiltration (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b). Adjacent to the main swelling, we palpated a subcutaneous nodule with a normal skin color. There was no clinical evidence of axillary adenopathies. A skin biopsy of the nodule revealed intraepidermal melanocytic proliferation, with irregular and convergent thecal groups (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>c). The invasive component consisted of cell masses that dissected the dermal collagen throughout its thickness. The melanocytes had epithelioid and fusocellular morphology, with a high degree of cytoplasmic pigmentation. The maximum thickness (Breslow index) was 5<span class="elsevierStyleHsp" style=""></span>mm. We also observed extensive mitosis and ulceration but no signs of vascular invasion or regression. The extension study using brain and chest-abdomen-pelvis computed tomography showed adenopathies in the left axilla, with irregular contours due to capsular infiltration and a subcutaneous node of pathological appearance, with a hypodense area of central necrosis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>d). Extirpation was performed with extensive margins of the main lesion and satellitosis. Selective sentinel node biopsy was not performed because we did not consider it indicated. After 6 months, the patient showed rapid disease progression and died due to hepatic and brain metastases.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>"
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