Grander LC, Cabral F, Lisboa AP, Vale G, Barcaui CB, Maceira JMP. Multiple cutaneous melanomas associated with gastric and brain metastases.
An Bras Dermatol 2017;
91:98-100. [PMID:
28300909 PMCID:
PMC5325008 DOI:
10.1590/abd1806-4841.20164374]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2015] [Accepted: 04/27/2015] [Indexed: 12/20/2022] Open
Abstract
The occurrence of multiple primary melanomas in a single individual is rare. Most
commonly, malignant melanocytic lesions subsequent to the initial diagnosis of
melanoma are secondary cutaneous metastases. We report a patient with
gastrointestinal bleeding from gastric metastasis of cutaneous melanoma. During
clinical evaluation and staging, we discovered a brain metastasis associated
with 3 synchronous primary cutaneous melanomas. We suggest the research on the
mutation in the cyclin-dependent kinase inhibitor 2A (CDKN2A) (INK4a) in such
cases. We also emphasize the importance of clinical examination and dermoscopy
of the entire tegument, even after a malignant melanocytic lesion is
identified.
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