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Case Reports
. 2022 Mar 7:9:792243.
doi: 10.3389/fsurg.2022.792243. eCollection 2022.

Primary Small Bowel Melanoma: A Case Report and Review of Literature

Amanda M Graças  1 , Willy P Souza  2 , Ana Carolina A Canut  3 , Maurice Y Franciss  2 , Bruno Zilberstein  2
Affiliations
Case Reports

Primary Small Bowel Melanoma: A Case Report and Review of Literature

Amanda M Graças et al. Front Surg. .

Abstract

Background: The present study analyzes diagnostic and therapeutic surgical aspects of primary small bowel melanoma, describing the clinical case and reviewing the literature. Malignant melanomas represent 1-3% of all malignant tumors of the gastrointestinal tract and are therefore uncommon. Only a few cases of metastatic melanoma (1-5%) are diagnosed in the early stages, while still asymptomatic. They show up as imaging exam findings and have better chance of treatment. Most of the time, the diagnosis is late and made in the presence of complications. The final diagnosis frequently depends on the surgical intervention after a serious complication.

Case report: This case report refers to a 55-year-old male patient, complaining of abdominal pain, blackened stools, and palpable tumor in the abdomen for ~30 days. A tomography scan was performed, which revealed the thickening and parietal enhancement of the small intestine loops with mesenteric adenomegaly and intermingled collection. For diagnostic confirmation, a laparoscopy was performed, which revealed a tumor at the jejunal level, and its resection was performed in the same act. The anatomopathological examination revealed that it was a primary small bowel melanoma.

Conclusion: The bibliographic research of the small bowel melanoma demonstrated that, in this situation, the lesion can be interpreted as a primary site or metastatic lesion, considering the possibility of a single primary lesion, whose diagnosis becomes more laborious. In such cases, adjuvant therapy must be considered. The expected 5-year survival is about 9-13%.

Keywords: case report; diagnosis; gastrointestinal metastasis; melanoma; small intestine; surgical treatment.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Low intensity on T1-weighted imaging. On the axial magnetic resonance image, the tumor showed an intestinal involvement due to lymphoproliferative disease.
Figure 2
Figure 2
Surgical specimen. Small bowel segment. Serosa partially covered by adipose tissue. Serous tumor implants and mucosa with usual pleating.
Figure 3
Figure 3
Small bowel epithelioid lesion.
Figure 4
Figure 4
Circumferential wall thickening.
See this image and copyright information in PMC

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