| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
The
story so far
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Mr. Phillips has metastatic
malignant melanoma to 2 (of 8) axillary lymph nodes.
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It appears the primary was removed
but discarded with no pathology review.
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His neurological exam is normal,
so no head CT is called for.
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His chest and abdominal CTs
do not reveal evidence of systemic metastases.
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His blood work is non-contributory.
What now?
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Waiting and seeing.
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Periodic evaluations for evidence
of systemic disease.
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Chemotherapy and/or immune stimulators
are used only with proven systemic disease.
What about the doc
who took off the original lesion?
Back |
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