Melanoma Mets

FACTS

very often hemorrhagic

HPI

seizures

PHYSICAL EXAM

routine exam, evaluate for hydo symptoms

IMAGING

A/P

Immunotherapy: anti-PD1 immunoglobulin

Neuro-onc consult for Tempus liquid sequencing to evaluate for targetable mutation

Whole brain radiation

Figure 1: Miliary melanoma (carcinomatosis encephalitis) - dire prognosis

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