Publication: Surgery for gastrointestinal malignant melanoma: Experience from surgical training center
Issued Date
2010-02-14
Resource Type
ISSN
10079327
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2-s2.0-76749085716
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Mahidol University
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SCOPUS
Bibliographic Citation
World Journal of Gastroenterology. Vol.16, No.6 (2010), 745-748
Suggested Citation
Thawatchai Akaraviputh, Satida Arunakul, Varut Lohsiriwat, Cherdsak Iramaneerat, Atthaphorn Trakarnsanga Surgery for gastrointestinal malignant melanoma: Experience from surgical training center. World Journal of Gastroenterology. Vol.16, No.6 (2010), 745-748. doi:10.3748/wjg.v16.i6.745 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/29771
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Title
Surgery for gastrointestinal malignant melanoma: Experience from surgical training center
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Abstract
AIM: To characterize clinical features, surgery, outcome, and survival of malignant melanoma (MM) of the gastrointestinal (GI) tract in a surgical training center in Bangkok, Thailand. METHODS: A retrospective review was performed for all patients with MM of the GI tract treated at our institution between 1997 and 2007. RESULTS: Fourteen patients had GI involvement either in a metastatic form or as a primary melanoma. Thirteen patients with sufficient data were reviewed. The median age of the patients was 66 years (range: 32-87 years). Ten patients were female and three were male. Seven patients had primary melanomas of the anal canal, stomach and the sigmoid colon (5, 1 and 1 cases, respectively). Seven patients underwent curative resections: three abdominoperineal resections, two wide local excisions, one total gastrectomy and one sigmoidectomy. Six patients had distant metastatic lesions at the time of diagnosis, which made curative resection an inappropriate choice. Patients who underwent curative resection exhibited a longer mean survival time (29.7 mo, range: 10-96 mo) than did patients in the palliative group (4.8 mo, P = 0.0006). CONCLUSION: GI MM had an unfavorable prognosis, except in patients who underwent curative resection (53.8% of cases), who had a mean survival of 29.7 mo. © 2010 Baishideng. All rights reserved.