Multiple skin metastases of amelanotic melanoma originating from the sinonasal mucosa.

Sir, Primary sinonasal mucosal melanomas are uncommon, aggressive tumours. Similar to other malignancies, nasal melanomas frequently metastasize to the lymph nodes, lungs, liver and bone. However, skin metastases are very rare (1). We report here a patient with amelanotic melanoma originating from the sinonasal mucosa who rapidly developed multiple skin metastases and the diagnosis was confirmed by a skin biopsy.