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Massive Pleural Effusion as the First Manifestation of Malignant Melanoma Metastasis  

Kim, Hee Gu (Department of Internal Medicine, Inha University College of Medicine)
Ryu, Jeong Seon (Department of Internal Medicine, Inha University College of Medicine)
Kwak, Seung Min (Department of Internal Medicine, Inha University College of Medicine)
Lee, Hong Lyeol (Department of Internal Medicine, Inha University College of Medicine)
Kim, Lucia (Department of Pathology, Inha University College of Medicine)
Cho, Jae Hwa (Department of Internal Medicine, Inha University College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.57, no.3, 2004 , pp. 289-291 More about this Journal
Abstract
Malignant melanoma develops from melanocytes and frequently metastases to other organs. Common metastatic sites are other skin, lymph nodes, lung, liver, brain and bone in decreasing order of frequency. Malignant pleural effusion is less frequent manifestation of thoracic metastasis. We experienced a 57-year-old man with pleural effusion who received radical resection with local flap on left foot due to acral lentiginous melanoma 3 years ago. He had progressive chest pain and left massive pleural effusion. The pleural cytology and biopsy showed malignant melanoma. After closed thoracostomy and talc pleurodesis, he refused further immunotherapy and chemotherapy and discharged.
Keywords
Malignant melanoma; Pleural effusion;
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