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Emergency Surgery for Metastatic Melanoma
Joint Authors
Mantas, Dimitrios
Charalampoudis, Petros
Tsaparas, Petros
Gogas, Helen
Kouraklis, Gregory
Source
International Journal of Surgical Oncology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-10-28
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Visceral metastases from malignant melanoma (stage M1c) confer a very poor prognosis, as documented on the most recent revised version of the TNM/AJCC staging system.
Emergency surgery for intra-abdominal complications from the disease is rare.
We report on our 5-year single institution experience with surgical management of metastatic melanoma to the viscera in the emergent setting.
From 2009 to 2013, 14 patients with metastatic melanoma were admitted emergently due to an acute abdomen.
Clinical manifestations encompassed intestinal obstruction and bleeding.
Surgical procedures involved multiple enterectomies with primary anastomoses in 8 patients, and one patient underwent splenectomy, one adrenalectomy, one right colectomy, one gastric wedge resection, one gastrojejunal anastomosis, and one transanal debulking, respectively.
The 30-day mortality was 7 percent.
Median follow-up was 14 months.
Median overall survival was 14 months.
Median disease free survival was 7.5 months.
One-year overall survival was 64.2 percent and 2-year overall survival was 14.2 percent.
Emergency surgery for metastatic melanoma to the viscera is rare.
Elective curative surgery combined with novel cytotoxic systemic therapies is under investigation in an attempt to grant survival benefit in melanoma patients with visceral disease.
American Psychological Association (APA)
Mantas, Dimitrios& Tsaparas, Petros& Charalampoudis, Petros& Gogas, Helen& Kouraklis, Gregory. 2014. Emergency Surgery for Metastatic Melanoma. International Journal of Surgical Oncology،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1037679
Modern Language Association (MLA)
Mantas, Dimitrios…[et al.]. Emergency Surgery for Metastatic Melanoma. International Journal of Surgical Oncology No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1037679
American Medical Association (AMA)
Mantas, Dimitrios& Tsaparas, Petros& Charalampoudis, Petros& Gogas, Helen& Kouraklis, Gregory. Emergency Surgery for Metastatic Melanoma. International Journal of Surgical Oncology. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1037679
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1037679