A 35 year old Caucasian male gardener from Brisbane presented to his local doctor with a "mole" on his right shoulder that had increased in size over the previous six weeks. The mole had changed colour and had become itchy, and was clinically thought to be a melanoma. He had also noticed lumps in his right axilla (armpit), which were enlarged lymph nodes. The tumour and the axillary nodes were removed surgically. The patient remained well for two years, but then presented with increasing headaches. A CT Scan of the head revealed multiple tumour deposits in the brain. He died 3 months later after lapsing into a coma.