satellite lesions in addition to a primary melanoma
A pigmented lesion on the lower limb of an 80-year-old woman had been present for five years and had remained consistent in appearance until a pigmented nodule formed. Within three months, two further nodules developed close to the primary lesion. A 2.2-mm nodular melanoma with no ulceration and dermal mitosis (3 mm2) with a positive satellite nodule was discovered by punch biopsy of the original