Metastatic melanoma to brain

Case contributed by Dr Chris O'Donnell


PH melanoma, now presents with confusion and drowsiness, ? melanoma metastases

Patient Data

Age: 85
Gender: Male

Multiple hyperdense mass lesions throughout the brain.  Most do not have surrounding vasogenic edema but some do as is typical of metastases.

Case Discussion

Hyperdense metastases to the brain are unusual and include the primary sites of lung, breast, GI tract and melanoma as in this case.  The density in melanoma is either due to blood product (hemorrhagic mets) or the melanin itself.  Calcifaction can also cause increased density in metastases including post radiotherapy.

PlayAdd to Share

Case information

rID: 20283
Published: 9th Nov 2012
Last edited: 8th Feb 2016
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.