Ulus Travma Acil Cerrahi Derg. 2010; 16(5): 469-472

Metastatic cutaneous melanoma presented with ileal invagination: report of a case

Aydin Aktas¹, Gultekin Hos¹, Serdar Topaloglu¹, Adnan Calik¹, Abulkadir Reis², Burhan Piskin^1
1Department Of Surgery, Karadeniz Technical University, School Of Medicine, Trabzon
²Department Of Pathology, Karadeniz Technical University, School Of Medicine, Trabzon

We herein report a case of ileal invagination secondary to metastasis of a cutaneous melanoma. A 45-year-old female was admitted with intermittent abdominal pain and nausea. The patient’s medical history was remarkable for cutaneous malignant melanoma. Imaging studies showed a solid mass in the right lower quadrant and the possibility of invagination. We made a preoperative diagnosis of partial intestinal obstruction, and laparotomy was performed. Intraoperative findings revealed ileal invagination. Segmental ileum resection with wide mesenteric lymph node dissection was performed. A polypoid metastasis of melanoma into the lumen of the ileum was confirmed with pathological examination. The diagnosis and management of intestinal metastasis of cutaneous malignant melanoma are discussed together with a literature review.

Keywords: Cutaneous malignant melanoma, invagination; ileum; metastasis.

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Kutanöz melanom metastazýna baðlý ileal invajinasyon: Olgu sunumu

Aydin Aktas¹, Gultekin Hos¹, Serdar Topaloglu¹, Adnan Calik¹, Abulkadir Reis², Burhan Piskin^1
1Karadeniz Teknik Universitesi Tip Fakultesi, Genel Cerrahi Ana Bilim Dali, Trabzon
²Karadeniz Teknik Universitesi Tip Fakultesi, Patoloji Ana Bilim Dali, Trabzon

Bu olgu sunumunda kutanöz malign melanomun metastazιna baðlý geliþen ileal invajinasyon rapor edilmiþtir. Kýrk beþ yaþýndaki kadýn hasta aralýklý olarak tekrarlayan karýn aðrýsý ve kusma ile baþvurdu. Hikayesinde takipte kutanöz malign melanom hastalýðý dýþýnda özellik saptanmadý. Görüntüleme incelemeleri ile sað alt kadran yerleþimli kitle lezyonu ve invajinasyon þüphesi saptanan hastaya parsiyel intestinal týkanýklýðý tanýsý ile yapýlan laparotomide ileal invajinasyon ile karþýlaþýldý. Segmenter ileum rezeksiyonu ve geniþ mezenterik lenf nodu diseksiyonu yapýldý. Patolojik inceleme sonrasýnda polipoid formdaki melanom metastazýnýn ileum lümeni içerisinde yer aldýðý ve invajinasyona yol açtýðý izlendi. Kutanöz malign melanomlarýn intestinal metastazlarýnýn taný ve tedavisi literatürdeki bilgi birikimi doðrultusunda tartýþýlmýþtýr.

Anahtar Kelimeler: Kutanöz malign melanom, invajinasyon; ileum; metastaz.

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