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    <title>American Journal of Medical Case Reports</title>
    <link>http://www.sciepub.com/journal/AJMCR</link>
    <description>American Journal of Medical Case Reports is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Previously unpublished medical posters are also accepted relating to any area of clinical or preclinical science.</description>
    <dc:publisher>Science and Education Publishing</dc:publisher>
		<dc:language>en</dc:language>
		<dc:rights>2013 Science and Education Publishing Co. Ltd All rights reserved.</dc:rights>
		<prism:publicationName>American Journal of Medical Case Reports</prism:publicationName>
		14
		4
		January 2026
		<prism:copyright>2013 Science and Education Publishing Co. Ltd All rights reserved.</prism:copyright>
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<title>
Silent Spread: Metastatic Melanoma in an Elderly Patient with Cognitive Impairment
</title>
<link>http://pubs.sciepub.com/ajmcr/14/4/1</link>
<description>
<![CDATA[Malignant melanoma is an aggressive malignancy with a strong propensity for distant metastasis. Although melanoma represents a smaller proportion of total skin cancer diagnoses, it accounts for most skin cancer related deaths in the United States. Cutaneous metastases can be recognized as a manifestation of advanced disease. We report the case of a 75-year-old man with significant comorbidities who presented after recurrent falls and was found to have diffuse subcutaneous nodules. Imaging demonstrated extensive metastatic involvement of multiple organ systems and biopsy confirmed metastatic melanoma. Remote history of a skin lesion excision more than a decade earlier without documented diagnosis or surveillance was later identified. This case underscores the diagnostic significance of cutaneous metastases and the importance of long term follow-up after lesion excisions.]]>
</description>
<dc:creator>
Tajala  Aman MD, Chelsey  Arvin DO, Folake  Ishola MD M.Sc, Muhammad  Ulusyar Khan MBBS, Lannie  Cation MD FACP
</dc:creator>
<dc:date>2026-06-23</dc:date>
<dc:publisher>Science and Education Publishing</dc:publisher>
<prism:publicationDate>2026-06-23</prism:publicationDate>
<prism:number>4</prism:number>
<prism:volume>14</prism:volume>
<prism:startingPage>45</prism:startingPage>
<prism:endingPage>47</prism:endingPage>
<prism:doi>10.12691/ajmcr-14-4-1</prism:doi>
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