Late recurrence phenomenon in the course of melanoma (i. e. first recu
rrence after a 10 years or more disease free interval) is often ignore
d. Eleven cases and a literature review are presented. Main conclusion
s are: lack of clinical or pathological criteria predicting the risk f
or a given patient, possible underevaluation of the number of patients
affected by these late recurrences, due to a premature follow up cess
ation, advantage of prolonged clinical follow up over ten years aimed
at early diagnosis of locoregional metastasis which may benefit from s
uccessful surgical treatment.