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A Journal on Surgery

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Chirurgia 2000 April;13(2):113-6

language: Italian

Ileal metastasis of primary unknown site melanoma. A case report and review of the literature

Catena F., Tonini V., Campione O.


In 20-30% of the patients metastases of melanoma involve gastrointestinal tract.. In 60-70% of the cases GI metastases involve small bowel, in 15-20% stomach, in 10-20% large bowel, in 5% esophagus. In 8% of the patients the primary cutaneous melanoma is not known: evidence of melanoma metastases permits melanoma diagnosis. In this paper the case of a patient treated for ileal metastases of primary unknown site melanoma is reported and a critical review of the literature is made. Clinical, radiological, pathological records of the patient and literature data have been reviewed. The patient underwent a palliative ileal resection (intraoperative evidence of diffuse hepatic metastases) and she died two months after the operation. Operative intervention for melanoma metastatic to the GI tract is recommended for palliative reasons and it is associated with long-term survival.

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