Abstract : A 34-year-old man was referred to the oncology surgeons at dr. Kariadi General Hospital with a left-sided inguinal lump 3 months ago, initially 1,5x1x1.5 after 3 days became 3.5x3x2.5 cm, with tenderness, reddish colour around the lump. Then the patient came to the general surgeon at the district hospital, he was examined and performed a surgical removal and anatomic pathology examination which resulted metastasic melanoma. The patient had a history of tattoos in the upper and lower extremities since 10 years ago. After immunohistochemically evaluation at dr. Kariadi General Hospital, the result showing that it was reactive Para cortical hyperplasia expressed by dermatopathic lymphadenitis which was caused by tattoo pigmentation. After the lump removal from the inguinal region by excision surgeon at district hospital, the patient had no other complaints and had normal activities. Since the result of immunohistochemically evaluation was not metastatic melanoma, the patient was given antibiotics and anti- inflammatory.