Has this patient’s melanoma returned?
He's being treated with immune checkpoint inhibitors
Graham is a 47-year-old high school maths teacher. He first presented four years ago with a pigmented lesion over his left scapula, which proved to be melanoma with a Breslow thickness of 3mm, but with no evidence of lymph node involvement.
He underwent a wide excision with clear margins but the tumour recurred two years later.
