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The presence of subcutaneous metastases raised the suspicion for metastatic melanoma; however, pathological confirmation remained the ultimate tool to reach the final diagnosis.<\/jats:p>","DOI":"10.1136\/bcr-2013-009727","type":"journal-article","created":{"date-parts":[[2013,6,19]],"date-time":"2013-06-19T06:53:26Z","timestamp":1371624806000},"page":"bcr2013009727","source":"Crossref","is-referenced-by-count":4,"title":["Melanoma of unknown primary origin presenting as a rapidly enlarging adrenal mass"],"prefix":"10.1136","volume":"2013","author":[{"given":"Shamim","family":"Ejaz","sequence":"first","affiliation":[{"name":"Department of Endocrine Neoplasia, MD Anderson Cancer Center, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan","family":"Shawa","sequence":"additional","affiliation":[{"name":"Department of Endocrine Neoplasia, MD Anderson Cancer Center, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel Alva","family":"Henderson","sequence":"additional","affiliation":[{"name":"Department of Pathology, MD Anderson Cancer Center, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mouhammed Amir","family":"Habra","sequence":"additional","affiliation":[{"name":"Department of Endocrine Neoplasia, MD Anderson Cancer Center, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,6,19]]},"reference":[{"key":"2025082707413078000_2013.jun19_1.bcr2013009727.1","first-page":"225","article-title":"Cancer statistics, 2009","volume":"2013","author":"Jemal","year":"2009","journal-title":"CA Cancer J Clin"},{"key":"2025082707413078000_2013.jun19_1.bcr2013009727.2","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1097\/00008390-200502000-00013","article-title":"Melanoma of unknown primary: experience at Massachusetts General Hospital and Dana-Farber Cancer Institute","volume":"2013","author":"Katz","year":"2005","journal-title":"Melanoma Res"},{"key":"2025082707413078000_2013.jun19_1.bcr2013009727.3","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1002\/jso.2930230104","article-title":"Metastatic malignant melanoma of unknown primary origin: a study of 30 cases","volume":"2013","author":"Panagopoulos","year":"1983","journal-title":"J Surg Oncol"},{"key":"2025082707413078000_2013.jun19_1.bcr2013009727.4","doi-asserted-by":"crossref","first-page":"1816","DOI":"10.1002\/(SICI)1097-0142(19970501)79:9<1816::AID-CNCR26>3.0.CO;2-#","article-title":"Melanoma of unknown primary site: presentation, treatment, and prognosis\u2014a single institution study. 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