The Therapeutic Approach for Malignant Melanoma: Case 1
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The Therapeutic Approach for Malignant Melanoma
June 2010
A 73-year-old Caucasian male presented to his physician with a right pre-auricular pigmented lesion, 8 mm-diameter
PMH: arterial hypertension, dyslipidemia, hyperuricemia and hypothyroidism, for which he has been medically treated
He is a non-drinker and a former smoker
In 2002, he had undergone a right nephrectomy for a spontaneous retroperitoneal hematoma. Consequently, he has chronic renal insufficiency
Creatinine, 1.8 mg/dL
GFR, 40 mL/min
He otherwise maintains full autonomy in his daily activities and personal care
He subsequently underwent surgical resection. Pathologic assessment revealed an ulcerated melanoma
Breslow index 0.8 mm
Clark level of III (pT1b, Stage IB)
Since his surgery, he remains active and continues golfing 3 times per week
June 2016
On routine follow-up, the patient presents with moderate asthenia that limited his daily activity, without other relevant clinical symptoms (ECOG PS 1)
Physical examination did not detect any relevant findings