Evidence map›Paper›PMID 40937205›Full record

ArticleCureus2025

A Rare Case of Subcutaneous Scalp Mass As the Initial Presentation of Melanoma of Unknown Primary.

Megan Miller, Greeshma Ragu, Patrick D Plummer, Hui Un Kim, Matthew Passeggiata, Shawn Clark

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Megan MillerDepartment of Surgery, Ross University School of Medicine, Bridgetown, BRB.
Greeshma RaguDepartment of Surgery, American University of Antigua, St. John's, ATG.
Patrick D PlummerDepartment of Surgery, Western Reserve Health Education/Northeast Ohio Medical University (NEOMED), Warren, USA.
Hui Un KimDepartment of Surgery, Western Reserve Health Education/Northeast Ohio Medical University (NEOMED), Warren, USA.
Matthew PasseggiataDepartment of Surgery, Western Reserve Health Education/Northeast Ohio Medical University (NEOMED), Warren, USA.
Shawn ClarkDepartment of Surgery, Western Reserve Hospital, Cuyahoga Falls, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Melanoma is a form of skin cancer responsible for the majority of skin cancer-related deaths. Melanoma of unknown primary origin that presents as a periosteal scalp mass without overlying skin changes is rare and diagnostically challenging. Clinically, melanoma often presents as a skin lesion that is asymmetric, has irregular borders, exhibits multiple colors, is larger in size, and shows recent changes in appearance. The patient in this case is an 89-year-old male who initially presented with a subcutaneous cyst on the posterior scalp. Pathological examination of the excised mass ultimately confirmed malignant melanoma of unknown primary origin. A positron emission tomography scan performed after surgery revealed abnormal uptake in bilateral pulmonary nodules and multiple bilateral hilar lymph nodes. This case report highlights the clinical presentation, diagnostic challenges, and possible etiologies of melanoma with an unknown primary site that has metastasized to an unusual location.

Indexed as

atypical melanomamalignant melanomamelanoma of unknown primarymelanoma surgerymetastatic melanoma

Identifiers

PMID40937205
PMCPMC12420033

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.