Journal of laparoendoscopic & advanced surgical techniques. Part A · 2026
Reduced Port Laparoscopic Splenectomy for Isolated Splenic Metastasis of Malignant Cutaneous Melanoma.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Reilly Patricio Tomas, Rodriguez Altamirano Agustin, Aranda Maria Celeste, Maria Bozzetti Magdalena, Solari Ignacio, Palermo Mariano
Аннотация
BACKGROUND: Isolated splenic metastasis from malignant melanoma is exceedingly rare and is usually associated with disseminated disease.
METHODS: A 68-year-old man with a history of stage IIB nodular melanoma of the scalp (Breslow thickness 4 mm), treated with wide excision, negative sentinel lymph node biopsy, and adjuvant immunotherapy, was found on routine surveillance positron emission tomography/computed tomography to have a solitary hypermetabolic splenic lesion (SUVmax 8.8). No other metastatic sites were identified.
RESULTS: A laparoscopic splenectomy was performed without intraoperative or postoperative complications. Histopathological analysis confirmed metastatic melanoma. The patient recovered uneventfully and remains under oncological follow-up.
CONCLUSION: This case highlights the role of laparoscopic splenectomy as a safe and effective diagnostic and therapeutic approach for isolated splenic metastasis in selected melanoma patients.
METHODS: A 68-year-old man with a history of stage IIB nodular melanoma of the scalp (Breslow thickness 4 mm), treated with wide excision, negative sentinel lymph node biopsy, and adjuvant immunotherapy, was found on routine surveillance positron emission tomography/computed tomography to have a solitary hypermetabolic splenic lesion (SUVmax 8.8). No other metastatic sites were identified.
RESULTS: A laparoscopic splenectomy was performed without intraoperative or postoperative complications. Histopathological analysis confirmed metastatic melanoma. The patient recovered uneventfully and remains under oncological follow-up.
CONCLUSION: This case highlights the role of laparoscopic splenectomy as a safe and effective diagnostic and therapeutic approach for isolated splenic metastasis in selected melanoma patients.