Skip to main content
Top
Published in: World Journal of Surgical Oncology 1/2006

Open Access 01-12-2006 | Case report

Combined endoscopic and laparoscopic approach for palliative resection of metastatic melanoma of the stomach

Authors: RS Date, EA Griffiths, SA Pritchard, I McL Welch

Published in: World Journal of Surgical Oncology | Issue 1/2006

Login to get access

Abstract

Background

Metastatic tumours of the stomach present a clinical dilemma for the surgeon. Palliative surgical resection can alleviate symptoms and prolong survival in selected patients. However, previous studies have used open methods of surgical resection with potentially high morbidity and mortality. We describe the use of laparoscopic wedge resection of the stomach for palliative resection of metastatic melanoma to highlight the benefits of this technique.

Case presentation

A 58 year old male was investigated for iron deficiency anaemia while under treatment for pulmonary metastatic malignant melanoma. An upper gastrointestinal endoscopy revealed a 5 cm diameter ulcer on the anterior wall of the stomach, biopsies from the ulcer confirmed metastatic melanoma. Laparoscopic wedge resection of the stomach lesion was performed without complication.

Conclusion

Laparoscopic approach has many benefits and is useful for the palliative resection of rare tumours of the stomach in order to preserve the quality of life. Its use should be considered in selected patients.
Appendix
Available only for authorised users
Literature
1.
go back to reference Agrawal S, Yao TJ, Coit DG: Surgery for melanoma metastatic to the gastrointestinal tract. Ann Surg Oncol. 1999, 6 (4): 336-344. 10.1007/s10434-999-0336-5.CrossRefPubMed Agrawal S, Yao TJ, Coit DG: Surgery for melanoma metastatic to the gastrointestinal tract. Ann Surg Oncol. 1999, 6 (4): 336-344. 10.1007/s10434-999-0336-5.CrossRefPubMed
2.
go back to reference Panagiotou I, Brountzos EN, Bafaloukos D, Stoupis C, Brestas P, Kelekis DA: Malignant melanoma metastatic to the gastrointestinal tract. Melanoma Res. 2002, 12 (2): 169-173. 10.1097/00008390-200204000-00010.CrossRefPubMed Panagiotou I, Brountzos EN, Bafaloukos D, Stoupis C, Brestas P, Kelekis DA: Malignant melanoma metastatic to the gastrointestinal tract. Melanoma Res. 2002, 12 (2): 169-173. 10.1097/00008390-200204000-00010.CrossRefPubMed
3.
go back to reference Allen PJ, Coit DG: The surgical management of metastatic melanoma. Ann Surg Oncol. 2002, 9 (8): 762-770. 10.1245/ASO.2002.02.009.CrossRefPubMed Allen PJ, Coit DG: The surgical management of metastatic melanoma. Ann Surg Oncol. 2002, 9 (8): 762-770. 10.1245/ASO.2002.02.009.CrossRefPubMed
4.
go back to reference al-Sheneber IF, Meterissian SH, Loutfi A, Watters AK, Shibata HR: Small-bowel resection for metastatic melanoma. Can J Surg. 1996, 39 (3): 199-203.PubMedCentralPubMed al-Sheneber IF, Meterissian SH, Loutfi A, Watters AK, Shibata HR: Small-bowel resection for metastatic melanoma. Can J Surg. 1996, 39 (3): 199-203.PubMedCentralPubMed
5.
go back to reference Otani Y, Ohgami M, Igarashi N, Kimata M, Kubota T, Kumai K, Kitajima M, Mukai M: Laparoscopic wedge resection of gastric submucosal tumors. Surg Laparosc Endosc Percutan Tech. 2000, 10 (1): 19-23. 10.1097/00019509-200002000-00005.PubMed Otani Y, Ohgami M, Igarashi N, Kimata M, Kubota T, Kumai K, Kitajima M, Mukai M: Laparoscopic wedge resection of gastric submucosal tumors. Surg Laparosc Endosc Percutan Tech. 2000, 10 (1): 19-23. 10.1097/00019509-200002000-00005.PubMed
6.
go back to reference Galloway SW, Yeung EC, Lau JY, Chung SC: Laparoscopic gastric resection for bleeding metastatic choriocarcinoma. Surg Endosc. 2001, 15 (1): 100-PubMed Galloway SW, Yeung EC, Lau JY, Chung SC: Laparoscopic gastric resection for bleeding metastatic choriocarcinoma. Surg Endosc. 2001, 15 (1): 100-PubMed
7.
go back to reference de la Monte SM, Moore GW, Hutchins GM: Patterned distribution of metastases from malignant melanoma in humans. Cancer Res. 1983, 43 (7): 3427-3433.PubMed de la Monte SM, Moore GW, Hutchins GM: Patterned distribution of metastases from malignant melanoma in humans. Cancer Res. 1983, 43 (7): 3427-3433.PubMed
8.
go back to reference Taal BG, Westerman H, Boot H, Rankin EM: Clinical and endoscopic features of melanoma metastases in the upper GI tract. Gastrointest Endosc. 1999, 50 (2): 261-263. 10.1016/S0016-5107(99)70236-1.CrossRefPubMed Taal BG, Westerman H, Boot H, Rankin EM: Clinical and endoscopic features of melanoma metastases in the upper GI tract. Gastrointest Endosc. 1999, 50 (2): 261-263. 10.1016/S0016-5107(99)70236-1.CrossRefPubMed
9.
go back to reference Oda, Kondo H, Yamao T, Saito D, Ono H, Gotoda T, Yamaguchi H, Yoshida S, Shimoda T: Metastatic tumors to the stomach: analysis of 54 patients diagnosed at endoscopy and 347 autopsy cases. Endoscopy. 2001, 33 (6): 507-510. 10.1055/s-2001-14960.CrossRefPubMed Oda, Kondo H, Yamao T, Saito D, Ono H, Gotoda T, Yamaguchi H, Yoshida S, Shimoda T: Metastatic tumors to the stomach: analysis of 54 patients diagnosed at endoscopy and 347 autopsy cases. Endoscopy. 2001, 33 (6): 507-510. 10.1055/s-2001-14960.CrossRefPubMed
10.
go back to reference Sturgeon C, Leong SP, Duh QY: Laparoscopic surgery for melanoma metastases to the adrenal gland. Expert Rev Anticancer Ther. 2004, 4 (5): 837-841. 10.1586/14737140.4.5.837.CrossRefPubMed Sturgeon C, Leong SP, Duh QY: Laparoscopic surgery for melanoma metastases to the adrenal gland. Expert Rev Anticancer Ther. 2004, 4 (5): 837-841. 10.1586/14737140.4.5.837.CrossRefPubMed
11.
go back to reference Guida M, Cramarossa A, Gentile A, Benvestito S, De Fazio M, Sanbiasi D, Crucitta E, De Lena M: Metastatic malignant melanoma of the gallbladder: a case report and review of the literature. Melanoma Res. 2002, 12 (6): 619-625. 10.1097/00008390-200212000-00012.CrossRefPubMed Guida M, Cramarossa A, Gentile A, Benvestito S, De Fazio M, Sanbiasi D, Crucitta E, De Lena M: Metastatic malignant melanoma of the gallbladder: a case report and review of the literature. Melanoma Res. 2002, 12 (6): 619-625. 10.1097/00008390-200212000-00012.CrossRefPubMed
12.
go back to reference Sreenivas VI, Damen M, Agarwal S, Pothula V: Metastatic melanoma of gastrocolic ligament treated with minimally invasive approach. Surg Endosc. 1997, 11 (4): 381-382. 10.1007/s004649900368.CrossRefPubMed Sreenivas VI, Damen M, Agarwal S, Pothula V: Metastatic melanoma of gastrocolic ligament treated with minimally invasive approach. Surg Endosc. 1997, 11 (4): 381-382. 10.1007/s004649900368.CrossRefPubMed
13.
go back to reference Kitano S, Shiraishi N: Current status of laparoscopic gastrectomy for cancer in Japan. Surg Endosc. 2004, 18 (2): 182-185. 10.1007/s00464-003-8820-7.CrossRefPubMed Kitano S, Shiraishi N: Current status of laparoscopic gastrectomy for cancer in Japan. Surg Endosc. 2004, 18 (2): 182-185. 10.1007/s00464-003-8820-7.CrossRefPubMed
14.
go back to reference Park DJ, Lee HJ, Kim SG, Jung HC, Song IS, Lee KU, Choe KJ, Yang HK: Intraoperative gastroscopy for gastric surgery. Surg Endosc. 2005, 19 (10): 1358-1361. 10.1007/s00464-004-2217-0.CrossRefPubMed Park DJ, Lee HJ, Kim SG, Jung HC, Song IS, Lee KU, Choe KJ, Yang HK: Intraoperative gastroscopy for gastric surgery. Surg Endosc. 2005, 19 (10): 1358-1361. 10.1007/s00464-004-2217-0.CrossRefPubMed
15.
go back to reference Saraiva P, Rodrigues H, Rodrigues P: Port site recurrence after laparoscopic adrenalectomy for metastatic melanoma. Int Braz J Urol. 2003, 29 (6): 520-521.CrossRefPubMed Saraiva P, Rodrigues H, Rodrigues P: Port site recurrence after laparoscopic adrenalectomy for metastatic melanoma. Int Braz J Urol. 2003, 29 (6): 520-521.CrossRefPubMed
Metadata
Title
Combined endoscopic and laparoscopic approach for palliative resection of metastatic melanoma of the stomach
Authors
RS Date
EA Griffiths
SA Pritchard
I McL Welch
Publication date
01-12-2006
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2006
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-4-20

Other articles of this Issue 1/2006

World Journal of Surgical Oncology 1/2006 Go to the issue