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World J Surg Oncol. 2008 Nov 20;6:124. doi: 10.1186/1477-7819-6-124.

Delayed malignant melanoma recurrence simulating primary ovarian cancer: case report.

Author information

1
3rd Department of Clinical Oncology, Theagenion Cancer Hospital, Thessaloniki, Greece. tboutis@otenet.gr

Abstract

BACKGROUND:

Metastatic involvement of the ovary from malignant melanoma is uncommon and presents a diagnostic challenge. Most cases are associated with disseminated disease and carry a dismal prognosis. Delayed ovarian recurrences from melanoma may mimic primary ovarian cancer and lead to aggressive cytoreductive procedures.

CASE PRESENTATION:

A case of malignant melanoma in a premenopausal patient is presented with late abdominal and ovarian metastatic spread, where ascitic fluid cytology led to an accurate preoperative diagnosis and the avoidance of unnecessary surgical procedures.

CONCLUSION:

Secondary ovarian involvement is associated with a poor prognosis and efforts should be made for adequate palliation. Pathologic diagnosis with non-invasive procedures is crucial in order to avoid unnecessary surgery. Surgical interventions may be undertaken only in selected cases of limited metastatic disease, where complete resection is expected.

PMID:
19021897
PMCID:
PMC2607274
DOI:
10.1186/1477-7819-6-124
[Indexed for MEDLINE]
Free PMC Article

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