[Late metastases of cutaneous malignant melanoma on the abdominal wall to the small and large bowel].
We describe the case of a 56 years old man, who was operated on with abdominal wall skin malignant melanoma 5 years ago. He received postoperative DTIC + Intron A treatment. Five years later he presented with complaints of epigastric pain, melena, hematochezia, anorexia and fatigue. Upper gastrointestinal tract endoscopy showed a tumour mass in the duodeno-jejunal flexure and colonoscopy showed a tumour in the large bowel. Histology verified anaplastic carcinoma. The patient was operated on. We found metastases in the small and the large bowel The patient underwent resection of the jejunum and right hemicolectomy. We describe the different types of metastases of malignant melanomas symptoms, therapies and prognosis.
Füredi
Gábor
G
Fejér Megyei Szent György Kórház Sebészeti Osztály. gfuredi@mail.fmkorhaz.hu
Altorjay
Aron
A
Varga
István
I
Illés
Iván
I
Kovács
Csaba
C
Békefi
Péter
P
Molnár
Anna
A
D015746:Abdominal Pain / Q000209:etiology; D034861:Abdominal Wall; D000855:Anorexia / Q000209:etiology; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D003110:Colonic Neoplasms / Q000556:secondary / Q000601:surgery; D004379:Duodenal Neoplasms / Q000556:secondary / Q000601:surgery; D005221:Fatigue / Q000209:etiology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery*; D007580:Jejunal Neoplasms / Q000556:secondary / Q000601:surgery; D008297:Male; D008545:Melanoma / Q000150:complications / Q000556:secondary* / Q000601:surgery*; D008551:Melena / Q000209:etiology; D008875:Middle Aged; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery