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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2000 August;13(4):239-42
The duodenal melanoma: a case report and literature review
Pecis C., Giovilli M., Stringhi E., Conti L., Ranica R., Pezzica E., Corti D., Bortolani E. M.
An apparently primary malignant melanoma of the duodenum has been observed in a patient without primary cutaneous or ocular signs of the tumour. Clinical history, diagnostic routes and therapeutical directions are reported. A Whipple procedure has been performed as surgical option. Duodenal neoplastic lesions referable to melanoma are generally metastatic and belong to a very small percentage of patients. In this report, the rareness of the tumour and the missing signs of regional or distant metastasis, according to a literature review, lead us to a diagnosis of primary malignancy of the duodenum. An outline of the commonest procedures is finally reported together with the directions for surgical care: surgery is always suggested in case of melanoma, either metastatic (palliative metastasectomies) or primary (radical exeresis).