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Table 1 Medical history timeline

From: Sclerosing angiomatoid nodular transformation of the spleen mimicking metastasis of melanoma: a case report and review of the literature

Dates

Relevant medical history

02/2010

Superficial spreading malignant melanoma localized at left instep, successfully treated with radical local resection (pT1a, Clark-level II, 0.2 mm thickness, R0)

01/2013

First description of a suspicious splenic lesion found in a routine ultrasound examination of the abdomen conducted by his general practitioner.

03–04/2013

Admission of the patient to our hospital. Esophagogastroduodenoscopy, ultrasound, CEUS (SonoVue®), CT, MRI, bone scintigraphy, and ultrasound-guided FNA were carried out. The immunohistochemical results of the FNA led to the initial diagnosis of metastases of malignant melanoma.

04/2013

Case presentation and discussion at our local tumor board. Splenectomy was recommended. The patient was vaccinated against Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis 2 weeks prior to surgery.

05/2013

Laparoscopic splenectomy, uneventful postoperative course. Discharge of the patient after 5 days.