A Rapid Case of Metastatic Melanoma
Above, a 75-year-old patient with stage 4 metastatic melanoma. He came to us after a staged excision and graft. The black dots are new satellite nodal mets.
Above, metastatic satellite lesions on the scalp of the same patient. He had the original
scalp lesion treated numerous times with LN2. The lesion continued to be
treated with LN2 for an entire year before a biopsy was performed and
confirmed to be metastatic melanoma. His prognosis is less than six
Above, the same area two weeks later. This demonstrates how rapid this stage 4 metastatic melanoma is.
These photos are an excellent reminder that if a lesion remains present after two treatments of liquid nitrogen, a biopsy is the next appropriate course of action. In the case of this patient, it could have been life saving.