A case of metastatic malignant melanoma presenting with large axillary mass and massive ascites mimicking hematologic malignancy
Bahar Engin1, Bengü Erkul1, Alp Özgüzer2, Muhammed Ali Kaypak1, Mustafa Değirmenci3, Harun Akar1
1Department of Internal Medicine, Tepecik Training and Research Hospital, İzmir, Turkey
2Department of Pathology, Tepecik Training and Research Hospital, İzmir, Turkey
3Department of Medical Oncology Outpatient Unit, Tepecik Training and Research Hospital, İzmir, Turkey
Keywords: Ascites; axillary mass; biopsy; malignant melanoma; skin lesions.
Malignant melanoma is not only a type of skin cancer but also characterized with a wide spectrum of clinical signs and symptoms. In this article we report a 32-year-old male case who was admitted to internal medicine clinic for his large axillary mass and massive ascites that was initially thought to be due to hematologic malignancy. During our clinical follow-up an ulcerated skin lesion was noticed. Both the pathological evaluations of axillary mass and skin lesion revealed metastatic malignant melanoma.