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Chirurgia 2000 August;13(4):239-42

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

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.


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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).

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