Clinical Endoscopy

  • 제42권6호
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  • Pages.388-391
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  • 2011
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
권호 표지

전신에 전이된 악성 흑색종 1예

A Case of Whole Body Metastatic Malignant Melanoma

  • 김국현 (차의과학대학교 구미차병원 내과학교실)
  • Kim, Kook-Hyun (Department of Internal Medicine, CHA Gumi Medical Center, CHA University)
  • 발행 : 2011.06.30
⟨ 이전 논문 다음 논문 ⟩

초록

악성 흑색종은 신체의 어느 부위로도 전이 가능한 악성 종양으로 소화 기관으로 전이가 보다 흔하다. 그 중에서 소장으로의 전이가 가장 흔하다. 소화 기관의 흑색종은 피부 병변에서 전이된 경우가 대부분이다. 저자는 1년 전 오른쪽 무지에 악성 흑색종이 있었던 72세 남자에서 간, 폐 및 위장관으로 전이되고 결국 뇌 전이로 사망한 1예를 경험하여 문헌고찰과 함께 보고한다.

Malignant melanomas have the potential to metastasize to any site in the body. They commonly invade the gastrointestinal tract. The small bowel is most commonly involved, followed by the stomach, large bowel, and esophagus. The vast majority of gastrointestinal melanomas are metastatic from a cutaneous lesion. An abdominal CT scan revealed multiple and variable sized low density lesions throughout the whole liver. Endoscopy revealed multiple black pigmentations at the distal esophagus, stomach, duodenum and rectum. The brain CT showed multiple hemorrhagic metastases in the brain. This 72-year-old man had malignant melanoma in his right thumb one year ago. It had metastasized to the liver, lung, gastrointestinal tract and brain. Here we report this case of whole body metastatic malignant melanoma and review the literature.

키워드

참고문헌

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