Asymptomatic jejunal metastatic melanoma. A case report of anemia of uncertain origin
Gastrointestinal metastases from cutaneous melanoma are rare and usually asymptomatic, with most patients not being clinically diagnosed throughout their lifetime. We report a case of how melanoma may metastasize insidiously in the small bowel. Unexplained iron deficiency anemia was assumed to be th...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-04-01
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| Series: | Journal of Mind and Medical Sciences |
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| Online Access: | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1324&context=jmms |
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| author | Cornelia Nitipir Andreea Parosanu Cristina Orlov-Slavu Cătălin Piriianu Radu Vrabie Iulian Slavu Valentin Calu |
| author_facet | Cornelia Nitipir Andreea Parosanu Cristina Orlov-Slavu Cătălin Piriianu Radu Vrabie Iulian Slavu Valentin Calu |
| author_sort | Cornelia Nitipir |
| collection | DOAJ |
| description | Gastrointestinal metastases from cutaneous melanoma are rare and usually asymptomatic, with most patients not being clinically diagnosed throughout their lifetime. We report a case of how melanoma may metastasize insidiously in the small bowel. Unexplained iron deficiency anemia was assumed to be the result of underlying gastrointestinal bleeding. Therefore, the diagnosis of jejunal metastasis from cutaneous melanoma was suggested based on imaging findings and made through the histopathological examination. According to the international guidelines, the patient underwent the complete excision of the primary tumor and therapeutic lymph node dissection. Furthermore, an adjuvant treatment was required to reduce the risk of recurrence. Both immunotherapy and surgical therapy have been shown to be effective, providing long-term survival in this case. |
| format | Article |
| id | doaj-art-ac9da1d4b68e497599b60f3ed986f3a5 |
| institution | Kabale University |
| issn | 2392-7674 |
| language | English |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Mind and Medical Sciences |
| spelling | doaj-art-ac9da1d4b68e497599b60f3ed986f3a52025-08-20T03:48:37ZengMDPI AGJournal of Mind and Medical Sciences2392-76742022-04-019118719210.22543/7674.91.P187192Asymptomatic jejunal metastatic melanoma. A case report of anemia of uncertain originCornelia Nitipir0Andreea Parosanu1Cristina Orlov-Slavu2Cătălin Piriianu3Radu Vrabie4Iulian Slavu5Valentin Calu6CAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, DEPARTMENT OF ONCOLOGY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, DEPARTMENT OF ONCOLOGY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, DEPARTMENT OF ONCOLOGY, BUCHAREST, ROMANIAELIAS UNIVERSITY EMERGENCY HOSPITAL, DEPARTMENT OF GENERAL SURGERY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, DEPARTMENT OF ONCOLOGY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, DEPARTMENT OF HUMAN ANATOMY, BUCHAREST, ROMANIAELIAS UNIVERSITY EMERGENCY HOSPITAL, DEPARTMENT OF GENERAL SURGERY, BUCHAREST, ROMANIAGastrointestinal metastases from cutaneous melanoma are rare and usually asymptomatic, with most patients not being clinically diagnosed throughout their lifetime. We report a case of how melanoma may metastasize insidiously in the small bowel. Unexplained iron deficiency anemia was assumed to be the result of underlying gastrointestinal bleeding. Therefore, the diagnosis of jejunal metastasis from cutaneous melanoma was suggested based on imaging findings and made through the histopathological examination. According to the international guidelines, the patient underwent the complete excision of the primary tumor and therapeutic lymph node dissection. Furthermore, an adjuvant treatment was required to reduce the risk of recurrence. Both immunotherapy and surgical therapy have been shown to be effective, providing long-term survival in this case. https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1324&context=jmmsjejunal metastasismelanomaanemiaimmune checkpoint inhibitors |
| spellingShingle | Cornelia Nitipir Andreea Parosanu Cristina Orlov-Slavu Cătălin Piriianu Radu Vrabie Iulian Slavu Valentin Calu Asymptomatic jejunal metastatic melanoma. A case report of anemia of uncertain origin Journal of Mind and Medical Sciences jejunal metastasis melanoma anemia immune checkpoint inhibitors |
| title | Asymptomatic jejunal metastatic melanoma. A case report of anemia of uncertain origin |
| title_full | Asymptomatic jejunal metastatic melanoma. A case report of anemia of uncertain origin |
| title_fullStr | Asymptomatic jejunal metastatic melanoma. A case report of anemia of uncertain origin |
| title_full_unstemmed | Asymptomatic jejunal metastatic melanoma. A case report of anemia of uncertain origin |
| title_short | Asymptomatic jejunal metastatic melanoma. A case report of anemia of uncertain origin |
| title_sort | asymptomatic jejunal metastatic melanoma a case report of anemia of uncertain origin |
| topic | jejunal metastasis melanoma anemia immune checkpoint inhibitors |
| url | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1324&context=jmms |
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