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CT scan (pretreatment) showing lymph nodes.
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Unfortunately a CT scan 3 months after his neck dissection showed convincing evidence of metastatic disease with confluent lymphadenopathy in the paratracheal group of nodes, with the target node measuring 22 mm (Figure 1).
CT showing lung lesion before Vemurafenib.
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A right lower lobe lung metastasis measuring 26 mm with right perihilar lymph nodes was also noted (Figure 2).
CT scan showing complete remission.
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A progress CT scan 2 years after starting treatment showed a complete radiological response; CT scan did not show any pathologically enlarged lymph nodes or any lung metastasis (Figure 3).
CT scan 12 months after stopping Vemurafenib.
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Most recent CT scan and clinical evaluation at 12 months after stopping Vemurafenib did not show any radiological or clinical evidence of metastatic melanoma (Figure 4).