Melanoma metastatic to stomach, small bowel, or colon.

摘要: Approximately 60% of patients who die from melanoma have gastrointestinal (GI) metastases at autopsy, yet antemortem diagnosis is uncommon. A retrospective review was completed on 32 underwent an operation Memorial Sloan-Kettering Cancer Center between 1977 and 1987 for complications metastatic to the stomach, small bowel, or colon. Operations were most often performed emergent basis, indications included bleeding anemia in 12, obstruction 10, abdominal pain 8, intestinal perforation 1, acute GI with 1. involvement first sign disease 10 patients. Median survival after 6.2 months (range: 1 42 months). Five alive 2 years operation, although only one remains free 39 complete resection a single site. Operative mortality 3%, 94% discharged hospital. Due low operative mortality, surgical palliation should be considered those whom quality life may improved.