2017 Volume 32 Issue 1 Pages 66-70
An 89-year-old man underwent local excision of a squamous cell carcinoma. Three years and 8 months after the surgery, he developed a new tumor near the scar at the previous operation site. The new lesion was not a recurrence of his squamous cell carcinoma, but a malignant melanoma that metastasized to his cervical lymph nodes and lungs (stage IV). Palliative excision of the primary skin lesion and other therapeutic modalities such as targeting, immunotherapy or chemotherapy were out of options among the patient, his family and medical team. The second primary skin cancer has been less concerned in Japan. The issue would be more discussed as well as in Caucasian societies.[Skin Cancer (Japan) 2017 ; 32 : 66-70]