Wiener klinische Wochenschrift

, Volume 126, Issue 9–10, pp 261–262 | Cite as

Cardiac surgery for metastatic melanoma

  • Ingeborg M. KeelingEmail author
  • Igor Knez
  • Erika Richtig
  • Robert Zweiker
  • Ariane Aigelsreiter
  • Drago Dacar
images in clinical medicine

Case report

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...


Melanoma Sentinel Lymph Node Right Ventricle Tricuspid Valve Right Atrium 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

508_2014_518_MOESM1_ESM.avi (19 mb)
(MP4 Video 19412 kb)


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Copyright information

© Springer-Verlag Wien 2014

Authors and Affiliations

  • Ingeborg M. Keeling
    • 1
    Email author
  • Igor Knez
    • 1
  • Erika Richtig
    • 2
  • Robert Zweiker
    • 3
  • Ariane Aigelsreiter
    • 4
  • Drago Dacar
    • 1
  1. 1.Department of Cardiac SurgeryMedical University of GrazGrazAustria
  2. 2.Department of DermatologyMedical University of GrazGrazAustria
  3. 3.Department of CardiologyMedical University of GrazGrazAustria
  4. 4.Department of PathologyMedical University of GrazGrazAustria

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