Surgical treatment of metastases from cutaneous melanoma to the small intestine and the spleen.

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COD: 233-238 Categorie: ,

Lorenzo Di Libero, Valerio Sciascia, Daniela Esposito, Roberto Varriale, Ernesto Tartaglia, Luigi Santini

Ann. Ital. Chir., 2011; 82: 233-238

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Cutaneous melanoma is found in the head and neck in 15% of patients, in the limbs in 22%, in the trunk in 40%
and in occult sites in 16%. There is usually an interval of at least 3 years between the diagnosis of primary melanoma
and the identification of metastases. Primary melanoma metastasizes most frequently to the lymph nodes (73.6% cases)
and the lungs (71.3% cases). The small intestine and the spleen are the sites of 36.5% and 30.6% respectively of the
gastrointestinal metastases from melanoma.
The cases reported provide evidence of the effect radical resection in patients with gastrointestinal metastases can have
on survival.
The cases and a review of the literature suggest that a careful and multidisciplinary follow-up is of crucial importance
since it is the only means of identifying metastases when they can be still cured with surgical treatment.

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