Imad Ghazzawi, Nazmi Kamal and Raed Smadi
Here we present a case of multiple systemic metastasis of missed malignant melanoma in a 26 year old male who was admitted to medical floor because of abdominal pain and B- symptoms. Abdominal Ultrasound revealed Right liver lobe mass with hepatomegaly. True cut biopsy of liver mass revealed an undifferntiated malignant tumor. The tumor cells were immunoreactive for Melan-A, Vimentin and focally for S-100 protein where the diagnosis of metastatic malignant melanoma was made.
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