A Case of Colonic Metastatic Malignant Melanoma of Unknown Origin.
- Author:
Yong Chan CHO
1
;
Wan KIM
;
Eun Taeg CHO
;
Young Ho SEO
;
Seon Ho WHANG
;
Young Hwa KI
;
Bong Kyu LEE
;
Won Yu KANG
;
Da Woon JEONG
;
Sam Cheol KIM
;
Hyang Mi GO
;
Sung Gwang CHUNG
Author Information
1. Department of Internal Medicine, Gwangju Veterans Hospital, Gwangju, Korea. sting1120@naver.com
- Publication Type:Case Report
- Keywords:
Metastatic melanoma;
Colon;
Metastatic cancer
- MeSH:
Abdominal Pain;
Aged;
Biopsy;
Colon*;
Colonoscopy;
Diagnosis;
Female;
Gastrointestinal Tract;
Humans;
Intestinal Obstruction;
Lymph Nodes;
Melanoma*;
Microscopy
- From:Korean Journal of Gastrointestinal Endoscopy
2006;32(1):62-66
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A metastatic melanoma to the gastrointestinal tract is observed in 1.5~4.4% of all melanoma patients. However, colonic and rectal involvement is less common. A 72-year-old woman was admitted due to abdominal pain and poor oral intake for 20 days. She had a 3 x 4 cm-sized mass on her right inguinal area 4 month ago, which was diagnosed as a malignant melanoma of the inguinal lymph node on excision biopsy. A large exophytic mass with an irregular ulcerlated, whitish patch, erythematous surface was observed in the hepatic flexure during colonoscopy. A histology diagnosis of a metastatic melanoma was made by an optical microscopy examination of the biopsies obtained during the colonscopy, and palliative right hemicolectomy was performed on account of a potential intestinal obstruction. We report a case of a metastatic melanoma of the colon with a review of the relevant literature.