@article{ajmcr20261441,
author={{MD, Tajala Aman and DO, Chelsey Arvin and M.Sc, Folake Ishola MD and MBBS, Muhammad Ulusyar Khan and FACP, Lannie Cation MD},
title={Silent Spread: Metastatic Melanoma in an Elderly Patient with Cognitive Impairment},
journal={American Journal of Medical Case Reports},
volume={14},
number={4},
pages={45--47},
year={2026},
url={https://pubs.sciepub.com/ajmcr/14/4/1},
issn={2374-216X},
abstract={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.},
doi={10.12691/ajmcr-14-4-1}
publisher={Science and Education Publishing}
}