Cardiac surgery for metastatic melanoma
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A 38-year-old woman was seen at the Department of Dermatology, Medical University of Graz, after complete excision of an ulcerated nodular melanoma on her left shoulder. She had observed first symptoms of lateral growth, itching, and recurrent bleeding of a congenital nevus over a period of several months. Histopathological examination revealed a tumor thickness of 1.08 mm. Staging assessments, including tumor markers, echocardiography, whole-body computed tomography (CT) scan, cardiac magnetic resonance imaging (cMRI), and positron-emission tomography (PET) scan, revealed no further lymph node involvement or distant metastases. The sentinel lymph node was tumor-free. Despite the urgent advice of adjuvant interferon therapy for 1 year, the patient declined this treatment.
After 43 months, cholecystectomy was performed for a biliary colic due to a single metastasis (3 × 3 cm) involving the gallbladder mucosa with focal breach into lymphatic vessels. The patient returned to...
KeywordsMelanoma Sentinel Lymph Node Right Ventricle Tricuspid Valve Right Atrium
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