Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/10557
Title: Pancreatic resection for metastatic melanoma.
Authors: Nikfarjam, Mehrdad;Evans, P;Christophi, Christopher
Affiliation: Department of Surgery, Melbourne University, Austin Hospital, Melbourne, Victoria, Australia. mnikfarjam@optusnet.com.au
Issue Date: 2003
Citation: Hpb : the Official Journal of the International Hepato Pancreato Biliary Association; 5(3): 174-9
Abstract: The pancreas is an occasional site of metastases from melanoma. It may be the only location of metastatic disease, but more often the melanoma metastasis to other organs as well. Treatment options are somewhat limited, and the role of operative treatment is poorly defined.Two patients presenting with abdominal pain were found to have pancreatic lesions. A 45-year-old woman had a pylorus-preserving pancreatoduodenectomy for a mass in the head of pancreas; concurrent liver nodules were treated by segmental liver resection. A 55-year-old man had a total pancreatectomy for multiple pancreatic tumours. Both patients gave a history of ocular melanoma, diagnosed >10 years previously. They had no evidence of malignancy elsewhere. Histology of resected specimens confirmed metastatic melanoma with features consistent with an ocular primary. All resection margins were clear of malignancy, and no lymph node metastases were detected. At 6 months follow-up there were no signs of tumour recurrence.Complete surgical resection offers potential cure in selected patients with metastatic melanoma involving the pancreas, when there is no evidence of widespread disease.
Internal ID Number: 18332980
URI: http://ahro.austin.org.au/austinjspui/handle/1/10557
DOI: 10.1080/13651820310015284
URL: http://www.ncbi.nlm.nih.gov/pubmed/18332980
Type: Journal Article
Appears in Collections:Journal articles

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