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Morphologically, PDM is almost indistinguishable from cutaneous metastatic melanoma (CMM), but it has a lower metastatic potential and a much better prognosis with a long-term survival rate of 80100%, compared with 24% for cutaneous metastatic melanoma stage IIIC, although deep penetration can occur (mean Breslow depth of 3.01 mm and Clark level III) [23]

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