Fine Needle Aspiration Cytology (FNAC) of Recurrent Malignant Melanoma of Finger

India enjoys a low incidence of melanoma which could be due to under reporting on account of a low index of suspicion by clinicians and pathologists alike. This is particularly true when a cutaneous lesion lacks pigmentation. This may lead to a missed or delayed diagnosis and delayed therapy. Fine needle aspiration cytology was done on left index finger swelling in a 63 year old man and was diagnosed as malignant melanoma. He had past history of similar swelling on the same finger which was excised 12 year back. Now the patient presented with recurrent swelling at the same site. Late recurrences of malignant melanomas are well known, but uncommon. We report this case of late recurrent malignant melanoma, highlighting the clinical and diagnostic aspects of this neoplasm.