Unusual Presentation and Survival of Malignant Melanoma in Young Adult with Lymph Node, Lung, Liver, Brain, Bone and Adrenal Gland Metastases
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 10
Abstract
Mortality rates from malignant melanoma (Mm) are high if not detected in early stages. Mm mostly metastasize to lymph nodes (73.5%), followed by lungs (71.3%), liver (58.3%), brain (54.6%), bone (48.6%) and adrenal glands (46.8%). Brain metastases has a grave complication and its clinical outcome is disappointing with survival averaging less than 6 months. Here we report an unusual case of a young adult who presented to us with wide spread metastatic malignant melanoma involving almost every organ of the body. The patient had a survival of 18 months with a mixed response to combination of treatment. The authors want to highlight that Mm can present in any unusual form and we should be having a high clinical acumen of suspicion. A thorough clinical examination should be a mandate. Timely and aggressive treatment can be beneficial to patients even with extensive metastases
Authors and Affiliations
Dr Madhup Rastogi
Hemodynamic Stability and Analgesia with Different Doses of Intrathecal Fentanyl Added to Hyperbaric Bupivacaine in Patients Undergoing TURP – A Comparative Study
Background: Transurethral resection of prostate (TURP) is one of the most common procedures performed in elderly men for benign prostatic hypertrophy. Subarachnoid block is considered the technique of choice, as it is th...
Laparoscopic Cholecystectomy vs. Open Cholecystectomy in the Treatment of Acute Cholecystitis
Objective: To compare the results of laparoscopic cholecystectomy (LC) with those of open cholecystectomy (OC) in the treatment of acute cholecystitis. Design: A prospective, nonrandomized trial. Setting: Government medi...
A Study to Assess Chochleovestibular Symptoms in Acquired Hypothyroidism
Objective: To evaluate the prevalence of cochleovestibular (CV) symptoms in acquired hypothyroidism and to establish a relation between CV symptoms and duration of hypothyroidism. Materials and Methods: An observational...
MRI Findings of Sports Related Knee Injury: A Hospital Based Observational Study
Objectives: Our study was to find the MRI evaluation of cases with sports related knee injuries. Methods: A detail history and complete assessment were performed to all cases. All patients were examined using a 1.5-T MR...
Evaluation of Addition of Low Dose Midazolam to a Mixture of Low Dose Ketamine and Hyperbaric Bupivacaine Given in Subarachnoid Block in Patients Undergoing Lower Limb Orthopaedic Surgery
Background: Dr Bion used Ketamine first time intrathecally in patients wounded during war time. Intrathecal ketamine produced significant analgesia with stable haemodynamics. Combination of intrathecal Ketamine and Midaz...