Massive Pleural Effusion as the First Manifestation of Malignant Melanoma Metastasis.
10.4046/trd.2004.57.3.289
- Author:
Hee Gu KIM
1
;
Jeong Seon RYU
;
Seung Min KWAK
;
Hong Lyeol LEE
;
Lucia KIM
;
Jae Hwa CHO
Author Information
1. Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. Jaehwa.Cho@inha.ac.kr
- Publication Type:Original Article
- Keywords:
Malignant melanoma;
Pleural effusion
- MeSH:
Biopsy;
Brain;
Chest Pain;
Drug Therapy;
Foot;
Humans;
Immunotherapy;
Liver;
Lung;
Lymph Nodes;
Melanocytes;
Melanoma*;
Middle Aged;
Neoplasm Metastasis*;
Pleural Effusion*;
Pleural Effusion, Malignant;
Pleurodesis;
Skin;
Talc;
Thoracostomy
- From:Tuberculosis and Respiratory Diseases
2004;57(3):289-291
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Malignant melanoma develops from melanocytes and frequently metastases to other organs. Common metastatic sites are other skin, lymph nodes, lung, liver, brain and bone in decreasing order of frequency. Malignant pleural effusion is less frequent manifestation of thoracic metastasis. We experienced a 57-year-old man with pleural effusion who received radical resection with local flap on left foot due to acral lentiginous melanoma 3 years ago. He had progressive chest pain and left massive pleural effusion. The pleural cytology and biopsy showed malignant melanoma. After closed thoracostomy and talc pleurodesis, he refused further immunotherapy and chemotherapy and discharged.