Figure 1: (A) On the left, a close-up photograph of a section of the scalp of patient # 2 prior to intralesional therapy showing the massive in transit metastases next to the skin graft, and (B) on the right, a photograph of the whole scalp of the same patient after receiving GM-CSF intralesional therapy. Note the complete clinical response which was confirmed pathologically. This patient is alive free of disease for 44 months to date.