Abstract
We report herein the case of a 66-year-old man who underwent resection and reconstruction of the chest wall due to the presence of a malignant melanoma without a detectable primary lesion. The patient was discharged in good condition after receiving chemotherapy but eventually died of multiple bone metastases 2 years after surgery. Throughout the postoperative course, there were no specific symptoms or findings suggesting the presence of a primary lesion. It was considered likely that the primary tumor was resolved by spontaneous regression after chest wall metastasis had been established.
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McCormack P, Bains MS, Beattie EJ Jr, Martini N. New trends in skeletal reconstruction after resection of chest wall tumors. Ann Thorac Surg 1981; 31: 45–52.
Orringer MB. Chest wall, mediastinum, and pleura. In: Greenfield LJ, ed. Surgery: scientific principles and practice. Philadelphia: Lippincott, 1993: 1304–42.
Pairolero PC, Arnold PG. Chest wall tumors. Experience with 100 consecutive patients. J Thorac Cardiovasc Surg 1985; 90: 367–72.
Barnhil RL, Mihm MC, Fitzpatrick TB, Sober AJ. Neoplasms: malignant melanoma. In: Fitzpatrick TB, Eisen AZ, Wolff K, Freedberg IM, Austen KF, eds. Dermatology in general medicine, 4th edn. New York: McGraw-Hill, 1993: 1078–1115.
Das Gupta T, Brasfield R: Metastatic melanoma. A clinicopathological study. Cancer 1964; 17: 1323–39.
Reintgen DS, McCarty KS, Woodard B, Cox E, Seigier HF. Metastatic malignant melanoma with an unknown primary. Surg Gynecol Obstet 1983; 156: 335–40.
Smith LJ, Stehlin JS. Spontaneous regression of primary malignant melanoma with regional metastases. Cancer 1965; 18: 1399–1415.
DasGupta TK, Brasfield RD, Paglia MA. Primary melanomas in unusual sites. Surg Gynecol Obstet 1969; 128: 841–8.
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Yotsumoto, G., Shimokawa, S., Yamaoka, A. et al. Malignant melanoma of the chest wall with an unknown primary lesion. Jpn J Thorac Caridovasc Surg 46, 399–401 (1998). https://doi.org/10.1007/BF03217762
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DOI: https://doi.org/10.1007/BF03217762