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Challenges in the use of immunotherapy in metastatic melanoma.

Ashley Tran, Shayna Sarosiek, Naomi Y Ko
BMJ Case Reports 2016 November 19
A 65-year-old man with metastatic melanoma was started on immunotherapy, switched to alternative targeted therapy and developed disseminated intravascular coagulation. This case underscores the complexity of interpreting and managing side effects of novel therapies in cancer care, identification of progression versus pseudoprogression and challenges in sequencing treatments in metastatic melanoma.

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