“…This pattern was noted in our review of the literature and in the current case: 10/19 (52.6%; our case included) late local recurrences were in the lower extremity. Observations of Tsao, Briele, Raderman, and Levy et al found that the overwhelming majority of cases of late recurrence occurred in females, which was also reflected in our review (16/18, 89% or 17/19, 89.5% including our case) [1,8,28,29]. However, Tsao, et al previously addressed the issues of whether a selection bias exists due to the increased survival in general of women with melanoma [1].…”