위와 복막에 발생한 재발성 악성흑색종 = Cade Reports A case of recurred malignant melanoma of the stomach and peritoneum

다국어 초록 (Multilingual Abstract)

Malignant melanoma may spread through the lymphatic channels or via the bloodstream. The lung, liver, bone and brain are common sites of hematogenous metastases. Malignant melanoma that has recurred to the stomach or peritoneum is not common. An 83-year old male patient was admitted to the Department of Oncology due to abdominal distension; 13 years ago, the patient had previously received a complete surgical resection for malignant melanoma of the right heel. According to a computed tomography (CT) scan of the abdomen, peritoneal carcinomatosis was suggested. Under a gastrofiberoscopic examination, two small sized polyps with central umbilication were found on the midbody of the stomach. The gastric polyps were histopathologically confirmed as metastatic melanoma. We report a rare case of metastatic malignant melanoma that has recurred to the stomach and peritoneum 13years after its initial diagnosis. (Korean J Med 72:213-216, 2007)

참고문헌 (Reference)

1 유석준, "내시경으로 진단된 위의 전이성 맥락막 악성흑색종 1예" 13 : 65-67, 1993

2 현명수, "내시경으로 진단된 위 및 십이지장의 전이성 악성 흑색종 1예" 25 : 958-964, 1982

3 Jorge E, "Symptomatic malignant melanoma of the gastrointestinal tract: operative treatment and survival" 199 : 328-331, 1984

4 Reintgen DS, "Radiologic, endoscopic, and surgical consideration of melanoma metastatic to the gastrointestinal tract" 95 : 635-639, 1984

5 Manola J, "Prognostic factors in metastatic melanoma: a pooled analysis of Eastern Cooperative Oncology Group trials" 18 : 3782-3793, 2000

6 Balch CM, "Prognostic factors analysis of 17,600 melanoma patients: validation of the American Joint Committee on Cancer melanoma staging system" 19 : 3622-3634, 2001

7 Kadakia SC, "Metastatic tumors to the upper gastrointestinal tract: endoscopic experience" 87 : 1418-1423, 1992

8 Liang KV, "Metastatic malignant melanoma of the gastrointestinal tract" 81 : 511-516, 2006

9 Blecker D, "Melnanoma in the gastrointestinal tract" 94 : 3427-3433, 1999

10 Atkins MB, "High-dose recombinant interleukin-2 therapy for patients with metastatic melanoma: analysis of 270 patients treated from 1985-1993" 1999 17 : 2105-2116, 1985

11 Mimica M, "Endoscopic diagnosis of malignant melanoma metastatic to the stomach" 97 : 1572-1573, 2002

12 Legha SS, "Development of a biochemotherapy regimen with concurrent administration of cisplatin, vinblastine, dacarbazine, interferon alfa, and interleukin-2 for patients with metastatic melanoma" 16 : 1752-1759, 1998

13 Charles MB, "Cutaneous melanoma, In Cancer principles and practice of oncology" Lippincott & Williams 1754-1809, 2005