Metastatic melanoma. Lymph node dissection done. Had RCC and have one kidney. Treatment?
Patient: what type of treatment would be offered to my 83 yr father who has metastatic melanoma, the primary site was on the upper, outer outer arm, lymp node disection done only one node involved but about ping pong ball size, now its returned next to the incision site. its nodular melanoma and a clark level four ? he has had rcc and only one kidney which is not functioning well. Doctor: Hi, most probably no treatment can be recommended, as he is of advanced age, the metastasis is in stage four, and the kidney left is also not functioning well.  Radiation and chemotherapy he can't with stand. you have sort pain killers and antibiotics with less renal side effects should be sought for symptomatic treatment. Thank you.