title: A painful shoulder.
abstract: A case is outlined of a patient presenting with a painful shoulder. Metastatic malignant melanoma was diagnosed. The sites of origin of melanotic lesions as well as metastatic sites are described. Both gross and radiological appearances of such lesion are not uniform, varying from osteolytic to osteoblastic forms. Treatment is for the most part ineffective. The outcome is rapid and invariably fatal.
authors.affiliation: Department of Diagnostic Radiology, St. George's Hospital, London, UK.
authors.forename: M A
authors.initials: MA
authors.lastname: O'Reilly
authors.forename: C W
authors.initials: CW
authors.lastname: Heron
authors.forename: J P
authors.initials: JP
authors.lastname: Glees
authors.forename: P M
authors.initials: PM
authors.lastname: O'Reilly
mesh_terms: D000368:Aged; D018771:Arthralgia / Q000175:diagnosis* / Q000209:etiology; D001859:Bone Neoplasms / Q000150:complications / Q000175:diagnosis / Q000556:secondary; D002908:Chronic Disease; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008545:Melanoma / Q000150:complications / Q000175:diagnosis / Q000556:secondary; D011859:Radiography; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000473:pathology