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Title
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5-Year survival after splenectomy in a patient with recurrent cutaneous melanoma: a case report
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Author
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Abstract
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| Objective: Splenic metastases of melanoma are uncommon and generally part of a disseminated disease with a poor prognosis. In case of solitary visceral metastasis, surgical resection often remains an effective treatment. This case describes a long-term survival after splenectomy for a recurrent melanoma. Methods: We present a 55-year-old female with a solitary splenic metastasis. Her medical history revealed a melanoma of the foot in 2007 and an in-transit metastasis in 2011. A PET-CT revealed in 2012 the presence of a small aspecific lesion in the spleen. Close follow-up was chosen. Since PET-CT and MRI showed a progressive lesion, a laparoscopic splenectomy was performed. Results: Histological report confirmed the diagnosis of a metastatic lesion. Sixty months after the first radiographic evidence of the splenic metastasis, follow-up revealed no signs of residual disease. Conclusions: Although current systemic approaches demonstrate to provide clinically important benefit, patients with oligometastatic disease should be evaluated for surgical metastasectomy. A laparoscopic approach for splenic metastasis is shown to be a safe treatment. This disease-free survival of 60 months in a patient with a history of an in-transit metastasis has not been published before. A splenectomy for a solitary metastasis could prolong the survival, even in a recurrent melanoma. |
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Language
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English
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Source (journal)
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Acta chirurgica Belgica. - Brussel, 1946 - 1996
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Publication
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Brussel
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2018
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ISSN
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0001-5458
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DOI
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10.1080/00015458.2017.1399661
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Volume/pages
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118
:6
(2018)
, p. 384-387
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ISI
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000451119900006
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Pubmed ID
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29115903
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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