Montresor E, Orcalli F, Modena S, Vesentini S, Schonsberg A, Breda B, Abrescia F
Chir Ital. 1986 Apr;38(2):170-5.
The Authors report a case of gastric metastasis from melanoma of the skin, occurring 6 years after removal of the primary neoplasm. The metastasis, which was characterized by conspicuous alimentary tract haemorrhage, called for emergency surgery consisting in a total gastrectomy with oesophago-jejunal anastomosis according to Roux. The Authors then go on to review the literature on the subject, stressing the frequency of gastrointestinal metastases in skin melanomas with an incidence affecting up to 60% of cases in autopsy series. After examining the main clinical aspects, endoscopic appearances and r-ray findings, the Authors deal at some length with prognosis, pointing out that isolated metastases may constitute a surgical indication in view of the cases of fairly good long-term survival reported in the literature.
作者报告了一例皮肤黑色素瘤发生胃转移的病例，该转移发生在原发性肿瘤切除6年后。该转移以明显的消化道出血为特征，需要进行紧急手术，即按照Roux法行全胃切除术并进行食管空肠吻合术。作者随后继续回顾了关于该主题的文献，强调皮肤黑色素瘤发生胃肠道转移的频率，在尸检系列中发病率高达60%。在检查了主要临床方面、内镜表现和X线检查结果后，作者详细讨论了预后，指出鉴于文献中报道的一些长期生存情况较好的病例，孤立性转移可能构成手术指征。
