A LATE RECURRENCE CASE OF CHROIDAL MALIGNANT MELANOMA WITH METASTATIC LESION IN THE STOMACH AND THE LIVER ON 13 YEARS AFTER SURGERY

概要

論文の詳細を見る
A 59-year-old woman who had undergone right ophthalmectomy for chroidal malig-nant melanoma in 1977, visited to our hospital because of abdominal discomfort in 1990. Abdominal ultrasonography and abdominal CT showed multiple tumors in both lobes of the liver, and gastroscopy showed a black elevated lesion in cardiac region of the stomach. Chroidal malignant melanoma metastating to the liver and the stomach on 13 years after surgery were suggested by past history and histology of the stomach and the liver. Chroidal and cutaneous malignant melanoma at early stage has better prognosis but has higher late reccurence rate (0.98%-6. 7%) like mammary cancer and renal cancer. But, only 11 cases of late recurrence of metastatic malignant melanoma has been reported in Japan. There are some reports that surgical and medical treatment is effective for early metastatic region of malignant melanoma. It is considered that the careful observation of early chroidal and cutaneous malignant melanoma after surgery by chest X-ray, ultrasono-graphy, abdominal CT, and upper gastrointestinal examination are useful for the detection of metastatic region.
社団法人日本消化器内視鏡学会の論文