Recurrent malignant melanoma of the left foot with metastasis: A case report

Dr. Priyanka Nakum, Dr. Shubhada Apoorva Kanhere
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Abstract

The initial diagnosis of metastatic melanoma is relatively uncommon, and the 5-year survival rate is less than 15%. We present a case of late melanoma recurrence that manifested as an in-transit metastasis in the iliac bone, occurring two years after the excision of the tumour. In the present case report; A 59 year female was reported to the outpatient department of the medical college & associated hospital. The patients past medical history stated that she is known case of foot melanoma diagnosis and was operated in 2019. In July 2020, the patient developed recurrence in July 2020. A wide local surgical excision to achieve a 2-centimeter margin with skin graft was undertaken with an associated sentinel lymph node biopsy. Upon follow-up, it was discovered that the patient had been disease-free for a full year. However, the lesion started to reoccur in the period of July 2022. A PET-CT of her whole blood was performed. The patient received IV fluids, antibiotics, analgesics, and other supportive care before being released once the hemodynamics were determined to be stable. A 10-year period of disease-free living cannot usually be regarded as a definitive cure for melanoma. Always let your doctor know if you've previously been diagnosed with melanoma.
左脚复发性恶性黑色素瘤伴转移1例
转移性黑色素瘤的初始诊断相对罕见,5年生存率低于15%。我们提出一个晚期黑色素瘤复发的病例,表现为在髂骨的运输转移,发生在肿瘤切除两年后。在本病例报告中;一位59岁的女性被报告到医学院及附属医院门诊部。患者既往病史显示,她是已知的足部黑色素瘤诊断病例,并于2019年进行了手术。2020年7月患者于2020年7月复发。广泛的局部手术切除以获得2厘米的皮肤移植边缘,并进行相关的前哨淋巴结活检。经随访,发现患者已无病一年。然而,病变在2022年7月期间开始复发。对她的全血进行了PET-CT检查。患者接受静脉输液、抗生素、镇痛药和其他支持性治疗,血流动力学稳定后出院。10年的无病生活期通常不能被视为黑色素瘤的最终治愈。如果你之前被诊断出患有黑色素瘤,一定要让你的医生知道。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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