Laparoscopy for stage IV melanoma in two organs

Document Type

Journal Article

Publication Date

8-1-2010

Journal

Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

Volume

20

Issue

4

DOI

10.1097/SLE.0b013e3181e360d0

Keywords

gastrointestinal tract; laparoscopy; melanoma; metastases; small intestine; stomach

Abstract

Metastatic melanoma remains a disease associated with poor outcomes. Traditionally, surgical intervention plays a minimal role in its treatment. However, more recent studies document that complete surgical resection of distant metastases is associated with 5-year survival rates of 15% to 30%. These rates are greater than that reported for single-agent or combination chemotherapy, biologic agents or immunotherapy. This case report outlines a unique presentation of stage IV melanoma within the gastrointestinal tract located in 2 different organs. On the basis of the patient's clinical findings, laparoscopic surgery was performed for palliation of intestinal obstruction and bleeding. This approach resulted in less postoperative pain, earlier mobilization, and a faster return to daily activities. To our knowledge, this case details the only known account that uses a laparoscopic approach to palliate stage IV melanoma at 2 synchronous sites; the stomach and small bowel. The literature regarding the treatment of metastatic melanoma is also briefly reviewed. Copyright © 2010 by Lippincott Williams & Wilkins.

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