Pregledni rad
ILEUS CAUSED BY METASTASIS OF CUTANEOUS MALIGNANT MELANOMA : CASE REPORT
JOSIP FAJDIĆ
; Opća županijska bolnica Požega, Požega, Hrvatska
DRAŽEN Đurović
; Opća županijska bolnica Požega, Požega, Hrvatska
NIKOLA GOTOVAC
; Opća županijska bolnica Požega, Požega, Hrvatska
DAMIR GUGIĆ
; Odjel za onkologiju i radioterapiju, Klinički bolnički centar Osijek, Osijek, Hrvatska
TOMISLAV STASTNY
; Opća županijska bolnica Požega, Požega, Hrvatska
FERDINAND SLIŠURIĆ
; Opća županijska bolnica Požega, Požega, Hrvatska
Sažetak
In this case report we describe rare metastatic appearance of cutaneous malignant melanoma ( MM ) in small intestine followed by clinical appearance of acute surgical abdomen. A 42-year old women operated in our hospital in April 2009. due to unusual naevus on her right arm. Pathologicaly it was MM grossly 1.5 cm, microscopically Breslow 11 mm, Clark’s level IV (T4), number of mitosis 1.4 per mm², without ulcerations. She was sent to continue treatment at the National Referal Center for Melanoma in KB “S. milosrdnice“ Zagreb, Croatia. A month later wider excision (3 cm free margin) and sentinel lymph node biopsy (SLNB) was made there followed by axillary lymphadenectomy due to positive axillary finding. She received six cycles of chemotherapy. She arrived in our hospital in May 2010, under clinical picture of small intestine ileus and acute surgical abdomen. After preparation she was operated the same day. The cause of ileus was metastasis of MM in the small interstine. We made intestinal resection with termino-terminal anastomosis. The patient was released to home care ten days after operation without any complication. This case report demonstrates rarely described case of MM metastasis in the small intestine found causing ileus.
Ključne riječi
skin malignant melanoma (MM); visceral metastasis; small intestine ileus
Hrčak ID:
89276
URI
Datum izdavanja:
17.10.2012.
Posjeta: 3.171 *