Single Metastasis In The Skin Melanoma Pancreas, Results Of Combined Treatment With Surgical Resection And Immunotherapy

GACETA MEXICANA DE ONCOLOGIA(2017)

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Abstract
Introduction: Metastatic melanoma to the pancreas was first described in 1931. Pancreatic metastases occur frequently in patients with diffuse disease, solitary metastasis is quite rare; currently, the role of pancreatic metastasectomy in patients with malignant melanoma is not defined because there are very few reports available. Case report: The case of a male patient aged 54 with a history of nodular malignant melanoma left thigh EC IIIC, in whom a single metastatic lesion is detected in pancreatic head after 11 months of follow-up, is revised to improve our understanding of these lesions, a treaty with pancreatic resection in our hospital case is described. Here, the clinical characteristics of presentation, treatment and monitoring are discussed along with a review of the literature. Discussion: Most authors recommend surgery as the treatment of choice for pancreatic metastases that are amenable to resection, as it seems to be the only treatment able to prolong survival, although there are no large studies that fully demonstrate this course. Conclusion: This review suggests that in a patient with favorable tumor characteristics, surgery should be considered a viable treatment option and it is necessary to conduct studies with more patients.
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Key words
Cutaneous malignant melanoma, Pancreatoduodenectomy, Immunotherapy
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