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because of the potential risk for occult regional lymph node metastases. This technique, widely used in the nodal staging of malignant melanoma and breast carcinoma, has been effectively employed also to detect occult nodal metastases in patients with high-risk non-melanoma skin cancers. 10 It can select patients for radical lymphadenectomy, sparing unnecessary nodal dissection, when SLN lacks of metastasis.Subsequent experiences are essential to support our options in the management of malignant PTT. R Cecchi, †* V Rapicano, ‡ C De Gaudio § †Departments of Dermatology, and ‡Pathology,

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