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2012 | 7 | 2 | 241-244
Tytuł artykułu

Ruptured ovarian metastatic malignant melanoma caused acute abdomen

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Ovarian metastatic malignant melanoma is a rare form of disseminated malignant melanoma. We present a rare case of acute abdomen due to rupture of ovarian metastatic malignant melanoma seven years after removal of a primary cutaneous malignant melanoma lesion, followed by reexcision of the cicatrix and axillary dissection (Clark III, Breslow IV), one year after osteoplastic parietal craniotomy for removal of recidiv metastatic lesions, and excision of the cutaneous malignant melanoma lesion on the upper leg were performed. During laparotomy because of acute abdomen, 4 L of free liquid (blood and ascites) were evacuated. The right adnexal mass was loose tumor, size 110x75 mm, with rupture on the posterior wall and hemorrhage. Unilateral adnexectomy was performed. Pathohystologic evaluation revealed tumor cells with eosinophilic, clear cytoplasm, intracytoplasmatic melanotic pigment and a great number of mitosis.Immunohistochemical results supported positivity for protein S-100, whereas results for cytoceratin 7, cytoceratin 20, pancytoceratin, epithelial membrane antigen and HMB-45 were negative. Three months after the surgery the patient died due to disseminated cerebral melanoma. An adnexal mass and the history of previous MM should be suspected to be ovarian metastatic malignant melanoma and the patient should be seen by gynecologist at least for active treatment.
Słowa kluczowe
Wydawca
Czasopismo
Rocznik
Tom
7
Numer
2
Strony
241-244
Opis fizyczny
Daty
wydano
2012-04-01
online
2012-02-03
Twórcy
  • Department of Obstetrics and Gynecology, University Hospital „Sveti Duh“, 10000, Zagreb, Croatia
  • Department of Obstetrics and Gynecology, University Hospital „Sveti Duh“, 10000, Zagreb, Croatia
autor
  • Department of Obstetrics and Gynecology, University Hospital „Sveti Duh“, 10000, Zagreb, Croatia
autor
  • Department of Obstetrics and Gynecology, Kaiser Franz Joseph Hospital, 1100, Vienna, Austria
Bibliografia
  • [1] Godar DE. Worldwide increasing incidences of cutaneous malignant melanoma. J Skin Cancer 2011;2011:858425. Epub 2011, Oct 10. 2
  • [2] Oliver R, Dasgupta C, Coker A, Al-Okati D, Weekes ARL. Ovarian malignant melanoma: Unusual presentation of a solitary metastasis. Gynecol Oncol 2005;99:412–414 http://dx.doi.org/10.1016/j.ygyno.2005.06.066[Crossref]
  • [3] Plaza JA, Perez-Montiel D, Mayerson J, Morrison C, Susler S. Metastases to soft tissue: a review of 118 cases over a 30-year period. Cancer 2008;112:193–203 http://dx.doi.org/10.1002/cncr.23151[Crossref]
  • [4] Gupta D, Deavers MT, Silva EG, Malpica A. Malignant melanoma involving the ovary: a clinicopathologic and immunohistochemical study of 23 cases. Am J Surg Pathol 2004;28:771–780 http://dx.doi.org/10.1097/01.pas.0000131544.18266.a4[Crossref]
  • [5] Moselhi M, Spencer J, Lane G. Malignant melanoma metastatic to the ovary: presentation and radiological characteristics. Gynecol Oncol 1998;69:165–168 http://dx.doi.org/10.1006/gyno.1998.4992[Crossref]
  • [6] Abe Y, Takeuchi M, Matsuzaki K, Uehara H, Furumoto H, Nishitani H. A case of metastatic malignant melanoma of the ovary with a multilocular cystic appearance on MR imaging. Jpn J Radiol 2009;27:458–461 http://dx.doi.org/10.1007/s11604-009-0368-6[WoS][Crossref]
  • [7] Piura B, Kedar I, Ariad S, Meirovitz M, Yanai-Inbar I. Malignant Melanoma Metastatic to the Ovary. Gynecol Oncol 1998;68:201–205 http://dx.doi.org/10.1006/gyno.1997.4919[Crossref]
  • [8] Ueng SH, Pinto MM, Alvarado-Cabrero I, Lee LY, Tavassoli FA. Ovarian malignant melanoma: a clinicopathologic study of 5 cases. Int J Surg Pathol 2010;18:184–92 http://dx.doi.org/10.1177/1066896908320834[Crossref]
  • [9] Thompson JF, Scolyer RA, Kefford RF. Cutaneous melanoma. Lancet 2005;365:687–701 [WoS]
  • [10] Sabban F, Boukerrou M, Mubiayi N, Houpeau JL, Robert Y, Vinatier D. Metastase ovarienne d’un melanome malin: a propros d’un cas. Gynecol Obstet Fertil 2005;33:409–411 http://dx.doi.org/10.1016/j.gyobfe.2005.04.017[Crossref]
  • [11] Silveira E, Palhares FAB, de Oliveira Filho JO, Alberti O, Alberti VN, Silveira MIGS. Peritonitis following rupture of metastatic malignant melanoma of the ovary. Gynecol Oncol 1977;5;305–307 http://dx.doi.org/10.1016/0090-8258(77)90039-7[Crossref]
  • [12] Jaluvka V, Weitzel HK, Endrikat J. Metastatic ovarian melanoma in a 26-year-old patient. Zentralbl Gynakol 1994;116:433–440
  • [13] Mandato VD, KObal B, DiStefano A, Sinkovec J, Levicnik A, La Sala GB, Rakar S. Choroidal melanoma metastasized to the ovary: case report and review of the literature. Eur J Gynaecol Oncol 2010;31:109–113 [PubMed]
  • [14] Ben David M, Feldberg D, Dicker J, Kessler H, Goldman JA. Ovarian melanoma. An interesting case. Int J Gynaecol Obstet 1984;22:77–79 http://dx.doi.org/10.1016/0020-7292(84)90107-3[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-011-0133-y
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