title: [Ultra-late metastasis of melanoma with secondary dissemination along the venous stripping line].
abstract: BACKGROUND
  A woman was cured of a melanoma of the leg. She presented an ultra late recurrence 17 years later, then rapid and extensive recurrence immediately after venous stripping.
  
  
  METHODS
  In 1977, a 38-year-old woman was operated for a SSM melanoma of the calf. She was then given chemotherapy and BCGtherapy for 2 years. In 1994, she presented a nodular recurrence which was treated surgically. In March 1997, she underwent a stripping of the leg. One month later, a nodular recurrence was discovered along the stripping line.
  
  
  CONCLUSIONS
  The ultra late recurrence (> 15 years) in this case is highly exceptional and, to our knowledge, this is the first case of a recurrence along a vascular course. We discuss metastatic dissemination of SSM melanoma and the role played by stripping in this case of recurrence.
authors.affiliation: Service de Dermatologie, Hôpital Fournier, 36 quai de la Bataille, 54035 Nancy Cedex.
authors.forename: C
authors.initials: C
authors.lastname: Nicolas
authors.forename: S
authors.initials: S
authors.lastname: Reichert-Penetrat
authors.forename: F
authors.initials: F
authors.lastname: Granel
authors.forename: A
authors.initials: A
authors.lastname: Barbaud
authors.forename: J L
authors.initials: JL
authors.lastname: Schmutz
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg; D008207:Lymphatic Metastasis; D008545:Melanoma / Q000473:pathology / Q000556:secondary* / Q000628:therapy; D009361:Neoplasm Invasiveness; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local; D011183:Postoperative Complications; D012501:Saphenous Vein / Q000601:surgery*; D012878:Skin Neoplasms / Q000473:pathology* / Q000628:therapy; D013924:Thrombophlebitis / Q000601:surgery*; D013997:Time Factors