{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T20:02:35Z","timestamp":1783454555677,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Dermatology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Metastasis can be classified into three forms based on the route of spread: lymphatic, hematogenous, and seeding within body cavities. We report a case of melanoma exhibiting seeding\/dissemination around the primary site through bullous solar elastosis, a previously unreported pattern. A 75\u2010year\u2010old man presented with a black nodule on the right forearm. One year after excision, a bluish\u2010gray macular lesion developed distal to the surgical scar. Histopathology of the primary lesion revealed features of high\u2010CSD melanoma with bullous solar elastosis forming cleft\u2010like spaces in the superficial and mid\u2010dermis, containing scattered melanoma cells. The recurrent lesion demonstrated a widespread band\u2010like distribution of melanoma cells along bullous solar elastosis. This case suggests that cleft\u2010like spaces in bullous solar elastosis may act as conduits for horizontal tumor spread, resulting in clinicopathological features that are distinct from conventional metastasis. Recognition of this pathway may improve diagnostic accuracy and understanding of cancer behavior in chronically sun\u2010exposed skin.<\/jats:p>","DOI":"10.1111\/1346-8138.70303","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T04:42:17Z","timestamp":1777956137000},"page":"1062-1066","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Melanoma Dissemination Through Bullous Solar Elastosis: Previously Undescribed Pattern of Cancer Dissemination"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4497-6246","authenticated-orcid":false,"given":"Ken","family":"Horisaki","sequence":"first","affiliation":[{"name":"Department of Dermatology Shizuoka Cancer Center Hospital  Nagaizumi Japan"},{"name":"Department of Dermatology Nagoya University Graduate School of Medicine  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4165-1809","authenticated-orcid":false,"given":"Keisuke","family":"Goto","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Pathology Shizuoka Cancer Center Hospital  Nagaizumi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arata","family":"Tsutsumida","sequence":"additional","affiliation":[{"name":"Department of Dermatology Shizuoka Cancer Center Hospital  Nagaizumi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1987-5942","authenticated-orcid":false,"given":"Tsubasa","family":"Hiraki","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Pathology Shizuoka Cancer Center Hospital  Nagaizumi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6082-4696","authenticated-orcid":false,"given":"Shusuke","family":"Yoshikawa","sequence":"additional","affiliation":[{"name":"Department of Dermatology Shizuoka Cancer Center Hospital  Nagaizumi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,4]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Robbins, Cotran & Kumar Pathologic Basis of Disease","author":"Aster J. 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