June 19, 2026 · The American journal of emergency medicine · DOI: 10.1016/j.ajem.2026.06.025

Oncoptysis as the primary presentation of metastatic melanoma: A case report

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This case report explores the rare presentation of oncoptysis in an 88-year-old female patient with metastatic melanoma, who presented with cough and hemoptysis. The authors aim to highlight the significance of considering malignancy in the differential diagnosis of hemoptysis, especially in patients with a history of melanoma, and to contribute to the limited literature on oncoptysis as a manifestation of pulmonary metastases. The findings underscore the need for careful diagnostic evaluation and palliative care strategies in such cases.

Nini Phan, Anthony Hackett, Robert E Schmitt

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