Case presentation: 57 yr old male presents with left preauricular mass. Has history of numerous moles removed in past none of which were malignant
CT neck showed 2.8 x 2.9 x 2.7 cm mass involving superficial lobe of left parotid and changes in right thyroid consistent with benign goiter
Patient underwent left parotidectomy and selective neck dissection. Pathology revealed 2 lymph nodes largely replaced by melanoma and 1 additional lymph node which was negatve. 17 lymph nodes from the neck were negative. Back to dermatologist for skin exam with no suspicious lesions seen.
Further staging with PET/CT and brain MRI demonstrated small lesion in sella felt to be consistent with a pituitary adenoma, SUV on PET was 2.8. No other findings.
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