Authors: J. Štukavec; L. Horák Authors‘ workplace: Chirurgická klinika Fakultní nemocnice Královské Vinohrady, přednosta doc. MUDr. J. Fanta, DrSc. Published in: Rozhl. Chir., 2005, roč. 84, č. 3, s. 148-150. Category: Monothematic special - Original
Our case-review studies an unusual case of occult bleeding from the cephalad portion of the digestive tube, caused by a metastasis of the malignant melanoma in the gastric corpus. The worldwide rates of patients with confirmed metastatic affections of the abdominal cavity, reaches only 2%. On the contrary, in 60% patients who died in consequence with malignant melanoma generalization, sections revealed metastases to the gastrointestinal tract. Unspecific symptoms, most frequently general weakness, tiredness, unspecific pains, anaemia and sometimes difficult decision-making, are among the suspected causes of poor diagnostic outcomes. Our case-review and collected literature data have confirmed positive effects of surgery on condition of patients with metastatic affections of the gastrointestinal tract.
Key words: melanoma – gastrointestinal metastasis – bleeding
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