title: [Late metastases of cutaneous malignant melanoma on the abdominal wall to the small and large bowel].
abstract: 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.
authors.affiliation: Fejér Megyei Szent György Kórház Sebészeti Osztály. gfuredi@mail.fmkorhaz.hu
authors.forename: Gábor
authors.initials: G
authors.lastname: Füredi
authors.forename: Aron
authors.initials: A
authors.lastname: Altorjay
authors.forename: István
authors.initials: I
authors.lastname: Varga
authors.forename: Iván
authors.initials: I
authors.lastname: Illés
authors.forename: Csaba
authors.initials: C
authors.lastname: Kovács
authors.forename: Péter
authors.initials: P
authors.lastname: Békefi
authors.forename: Anna
authors.initials: A
authors.lastname: Molnár
mesh_terms: 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