A 58-year-old man presented a black nodule with satellites located in
the left upper region of the umbilicus. Clinical history and microscop
ic findings led us to diagnose it as a malignant melanoma developing f
rom an intradermal nevus. Histopathologically, melanoma cells develope
d upward from the nest of the intradermal nevus and no junctional acti
vity was shown. Cases of malignant melanoma arising from an intraderma
l nevus have rarely been reported. Moreover, previously reported cases
showed melanoma cells beneath the intradermal nevus.