56 year-old woman with metastatic melanoma

This 56 yo woman presented on February 10, 2005 with multiple subcutaneous nodules, present for around a month. Some were hemorrhagic. Biopsy showed metastatic melanoma. Work-up revealed pancreatic, brain, lung and possibly adrenal mets. The biopsy site has not healed. A four centimeter exophytic tumor has appeared at the site of incision. The patient is lucid and has refused chemotherapy or radiotherapy. The tumor pictured below is a management problem. The part we see is only the visible portion of a larger deeper mass. The site of her primary melanoma has not been identified.


February 10, 2005 


March 5, 2005