title: Pedunculated malignant melanoma.
abstract: BACKGROUND
  The pedunculated melanoma is an unusual variant of nodular melanoma that presents a challenge in staging and management.
  
  
  OBJECTIVE
  We discuss the clinical and histopathologic characteristics of a case of pedunculated melanoma and present a brief review of the literature.
  
  
  METHODS
  Routine stain with hematoxylin and eosin was performed on tissue specimens.
  
  
  RESULTS
  The pedunculated melanoma was excised. Sentinel lymph node dissection was performed and was negative for the presence of melanoma.
  
  
  CONCLUSIONS
  Pedunculated melanoma is a rare type of melanoma. Conventional staging methods for melanoma may not be reliable in this type of tumor. Complete workup, possibly including sentinel lymph node dissection, should be performed in all patients with pedunculated melanomas.
authors.affiliation: Department of Dermatology, New York Medical College, New York, New York 10029, USA.
authors.forename: K
authors.initials: K
authors.lastname: Cutler
authors.forename: P
authors.initials: P
authors.lastname: Chu
authors.forename: M
authors.initials: M
authors.lastname: Levin
authors.forename: M
authors.initials: M
authors.lastname: Wallack
authors.forename: P C
authors.initials: PC
authors.lastname: Don
authors.forename: J M
authors.initials: JM
authors.lastname: Weinberg
mesh_terms: D000328:Adult; D001365:Axilla; D001415:Back; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008545:Melanoma / Q000473:pathology* / Q000601:surgery; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery