S.E. is a 67-year-old male retired airline pilot who presents with difficulty breathing, fatigue, abdominal pain, and numerous hardened black lumps on his left arm.
Relevant Medical History
• Hypertension (well-controlled)
Laboratory Tests/Clinical Presentation
• Pathology report of fine needle aspiration biopsy showed metastatic melanoma
• Eastern Cooperative Oncology Status (ECOG) performance status of 3
• MRI and PET/CT show metastases in liver, lungs, ...