INTRODUCTION: Small intestine melanomas are rare and the most of them are metastases from primary cutaneous neoplasms. PRESENTATION OF CASE: Below, we report two cases of small intestine metastatic melanoma with very different clinical presentation. DISCUSSION: Still now, primary versus metastatic origin is often unclear. Small bowel melanoma is often asymptomatic. However, clinical picture can be various; it may occurs with non specific symptoms and signs of gastro-intetstinal involvement, like chronic abdominal pain, occult or gross bleeding and weight loss, or with an emergency picture due to intestinal intussusception, obstruction or, rarely, perforation. CONCLUSION: Small bowel melanoma is rare and the diagnosis done late. Imaging techniques are recommended in order to obtain early diagnosis of gastrointestinal metastases.
INTRODUCTION: Small intestine melanomas are rare and the most of them are metastases from primary cutaneous neoplasms. PRESENTATION OF CASE: Below, we report two cases of small intestine metastatic melanoma with very different clinical presentation. DISCUSSION: Still now, primary versus metastatic origin is often unclear. Small bowel melanoma is often asymptomatic. However, clinical picture can be various; it may occurs with non specific symptoms and signs of gastro-intetstinal involvement, like chronic abdominal pain, occult or gross bleeding and weight loss, or with an emergency picture due to intestinal intussusception, obstruction or, rarely, perforation. CONCLUSION: Small bowel melanoma is rare and the diagnosis done late. Imaging techniques are recommended in order to obtain early diagnosis of gastrointestinal metastases.
Authors: Jörg G Albert; Oliver Gimm; Karsten Stock; Udo Bilkenroth; Wolfgang C H Marsch; Peter Helmbold Journal: Melanoma Res Date: 2007-10 Impact factor: 3.599
Authors: Tania Mucci; William Long; Agnes Witkiewicz; Michael J Mastrangelo; Ernest L Rosato; Adam C Berger Journal: J Gastrointest Surg Date: 2007-07-10 Impact factor: 3.452
Authors: Konstantinos Kouladouros; Daniel Gärtner; Steffen Münch; Mario Paul; Michael R Schön Journal: World J Gastroenterol Date: 2015-03-14 Impact factor: 5.742
Authors: F Stagnitti; S Orsini; A Martellucci; A Tudisco; M Avallone; F Aiuti; V Di Girolamo; F Stefanelli; Francesco De Angelis; C Di Grazia; A Napoleoni; S Nicodemi; B Cipriani; F Ceci; R Mosillo; S Corelli; G Casciaro; E Spaziani Journal: G Chir Date: 2014 Sep-Oct