A RARE PRESENTATION OF METASTATIC MELANOMA


Mauricio Szuchmacher, Reginald Reginald Anunobi, Behzad Amini, Neil p Parikh, Robert J Marx

Abstract


The prevalence of melanoma is on the rise in western society especially as the younger generation ages.  Although considered a malignancy of the skin, melanoma can spread to multiple systems throughout the body due to the location of melanocytes in multiple organ systems.  Therefore, it is essential for physicians to detect malignant melanoma at the earliest stage in order to decrease the risk of metastasis.  We describe a case of a 69-year-old gentleman with a significant past medical history of stage 1a melanoma diagnosed 5 years ago, who presents with multiple nodal masses.  The patient is diagnosed with metastatic melanoma after discovery of enhancing lesions on CT imaging of the head, neck, and abdomen confirmed via biopsy of the supraclavicular node.  Although the stage 1a melanoma has a low rate of recurrence and metastasis, it is paramount that physicians continue to due serial, thorough dermatologic exams even after successful excision of the primary tumor.

References


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American Cancer Society. Melanoma Skin Cancer. American Cancer Society. http://www.cancer.org/cancer/skincancer-melanoma/detailedguide/melanoma-skin-cancer-survival-rates. Published September 9, 2012. Accessed October 15, 2012.

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