Question: Case Study Mr. P.X. Age 45, Had Been Swimming And Was Sitting On The Beach When A Friend Commented On A Dark Reddish Black “pimple” With A Rough Surface On It This Upper Back. Mr. P.X Said He Had Numerous Moles On His Body, And It Was Not Of Concern. However, Later He Thought About The Comment And Saw His Physician, Who Thought The Lesion Was Suspicious …

Case Study

Mr. P.X. age 45, had been swimming and was sitting on the beachwhen a friend commented on a dark reddish black “pimple” with arough surface on it this upper back. Mr. P.X said he had numerousmoles on his body, and it was not of concern. However, later hethought about the comment and saw his physician, who thought thelesion was suspicious and should be checked. The border and surfaceof the mass were irregular, and it appeared to be quite thick. Asimilar small lesion was located nearby. The lesion was diagnosedas a superficial spreading malignant melanoma, and surgery wasscheduled. Surgery revealed that the melanoma had penetratedthrough the dermis and had spread to the regional lymph nodes.

1. Explain the factors that make this lesion suspicious forcancer.

2. List the possible predisposing factors in this patient.

3. Predict the prognosis and the reasons for it in this case.
4. completed the health assessment for neuro, cardiac, pulmonary,peripheral vascular, musculoskeletal, GI, and GU.