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This case report discusses a patient with stage 3A malignant melanoma who developed a large, friable mass at the site of a completion inguinal lymphadenectomy following a positive sentinel lymph node biopsy. We highlight the importance of considering both local disease recurrence and overgranulation in the differential diagnosis in order to guide appropriate management.doi:10.4236/mps.2018.83006 fatcat:2hdp6hnjorhfpm332qhajzkruu