Metastatic melanoma to the common bile duct causing obstructive jaundice： A case report

Metastatic melanoma to the common bile duct is very rare with only 18 cases reported so far. We report a 46 year old women who, 18 mo after excision of a skin melanoma, developped a painless progressive obstructive jaundice. At operation a melanoma within the distal third of the common bile duct was...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2007-02, Vol.13 (5), p.813-815
Main Authors: Colovic, Radoje B, Grubor, Nikica M, Jovanovic, Miodrag D, Micev, Marjan T, Colovic, Natasa R
Format: Article
Language:English
Subjects:
Bile Duct Neoplasms - complications
Bile Duct Neoplasms - secondary
Bile Duct Neoplasms - surgery
Case Report
Common Bile Duct
Female
Humans
Jaundice, Obstructive - etiology
Jaundice, Obstructive - surgery
Melanoma - complications
Melanoma - secondary
Melanoma - surgery
Middle Aged
Skin Neoplasms - pathology
病例报告
肿瘤转移
阻塞性黄疸
黑色素瘤
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Summary:Metastatic melanoma to the common bile duct is very rare with only 18 cases reported so far. We report a 46 year old women who, 18 mo after excision of a skin melanoma, developped a painless progressive obstructive jaundice. At operation a melanoma within the distal third of the common bile duct was found. There were no other secondaries within the abdomen. The common bile duct, including the tumor, was resected and anastomosed with Roux-en-Y jejunal limb. The patient survived 31 mo without any sign of local recurrence and was submitted to three other operations for axillar and brain secondaries, from which she finally died. Radical resection of metastatic melanoma to the common bile duct may result in lifelong relief of obstructive jaundice. It is safe and relatively easy to perform. In other cases, a less aggressive approach, stenting or bypass procedures, should be adopted.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v13.i5.813