Quality metric = 28S to 18S: 1.6 Patient Age: 60-70 Gender: Male Ethnic Background: Caucasian Tobacco Use : Yes Years of Tobacco Use: 26-30 Type of Tobacco Use: Chewing Tobacco Alcohol Consumption?: Yes Family History of Cancer?: Yes Prior Therapy: Surgical Relapse Since Primary Treatment: Yes Number of Years Until Relapse: 0-5 Retreatment T: 3b Retreatment N: 0 Retreatment M: 1a Retreatment Metastatic Sites: Lymph Nodes Retreatment Stage: 4 Primary Site: Skin of Left Flank Histology: Metastatic Malignant melanoma, NOS