• J. Am. Acad. Dermatol. · Oct 1980

    Case Reports

    Diffuse melanosis in metastatic melanoma. Further evidence for disseminated single cell metastases in the skin.

    • G Schuler, H Hönigsmann, and K Wolff.
    • J. Am. Acad. Dermatol. 1980 Oct 1; 3 (4): 363-9.

    AbstractElectron microscopy (EM) and electron microscopic cytochemistry have shown that diffuse melanosis in advanced metastatic melanoma is the result of an unlimited spread of single melanoma cells throughout the dermis; these cells retain their melanogenic capacity and continue to produce melanized melanosomes which eventually are deposited within dermal macrophages and thus impart to the skin a diffuse slate-blue color. These findings are in accordance with previous observations in a similar patient and thus support the concept that single cell metastasis represents a common pathogenic event in these patients.

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