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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 340:789-796 March 11, 1999 Number 10
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Case 7-1999— A 50-Year-Old Woman with Severe Diarrhea during Radiation Treatment for Resected Metastatic Melanoma
Sapna Syngal, and Stamatina Kaptain

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Presentation of Case

A 50-year-old woman was admitted to the hospital because of diarrhea that had developed during radiation treatment.

The patient had been well until 15 years earlier, when a stage 1A, Clark level II malignant melanoma (Figure 1), 0.45 mm in thickness, was excised from her back. Six months before admission, a mammographic examination showed a left axillary mass. A biopsy of the mass performed 21 weeks before admission showed metastatic melanoma. Ten days later, a computed tomographic (CT) scan of the chest showed multiple enlarged axillary lymph nodes and minimal pericardial fluid or thickening. An abdominal CT scan . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Sapna Syngal's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References



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