[A case of metastatic malignant melanoma of the stomach treated by a surgical operation].
A metastatic malignant melanoma of the stomach is not a disease of rate occurrence, but reports of melanomas that were clinically diagnosed and were treated by a surgical operation are rare. The case presented is a 73-year-old woman, who underwent an excision of a malignant melanoma of the left sole in 1981. Subsequently, she had a subcutaneous metastasis of a melanoma three times and was treated by a resection and immunochemotherapy. In January, 1988, an X-ray examination of stomach revealed a giant elevated lesion, and an endoscopic examination of the stomach revealed a black pigmented tumor with ulceration. A biopsy taken from the tumor confirmed the diagnosis of a malignant melanoma. Thus, she was given a total gastrectomy. Reports in the Japanese literature of metastatic malignant melanomas of the stomach diagnosed while the patient was still living amount to 11 cases. Of this number, 3 patients were given a surgical operation. Further, these 3 patients lived longer than the non-surgically treated cases and had a better quality of remaining life.
2nd Dept. of Surgery, Gifu Univ. School of Med.
T
T
Suhara
S
S
Azuma
M
M
Hayakawa
M
M
Futamura
A
A
Yoshida
N
N
Kaneda
T
T
Kageyama
H
H
Tanemura
T
T
Furuta
S
S
Saji
D000368:Aged; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008197:Lymph Node Excision; D008545:Melanoma / Q000556:secondary* / Q000601:surgery; D011379:Prognosis; D012878:Skin Neoplasms / Q000473:pathology*; D013156:Splenectomy; D013274:Stomach Neoplasms / Q000556:secondary* / Q000601:surgery