Breast Unit and Pathology Department Mayday University Hospital, London Road, Croydon, CR7 7YE, Surrey UK. chrisjack@doctors.org.uk
We report a case of axillary lymphadenopathy thirty years after a decorative tattoo clinically mimicking metastatic melanoma. The importance of relying on histological confirmation of metastatic disease before altering extent of surgery is discussed. The importance of recording presence of decorative tattoos is stressed.