Multiple cutaneous melanomas associated with gastric and brain metastases

Abstract The occurrence of multiple primary melanomas in a single individual is rare. Most commonly, malignant melanocytic lesions subsequent to the initial diagnosis of melanoma are secondary cutaneous metastases. We report a patient with gastrointestinal bleeding from gastric metastasis of cutaneo...

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Main Authors: Lara Caroline Grander, Fernanda Cabral, Alice Paixão Lisboa, Gabrielle Vale, Carlos Baptista Barcaui, Juan Manuel Pineiro Maceira
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2016-10-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016001100098&tlng=en
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author Lara Caroline Grander
Fernanda Cabral
Alice Paixão Lisboa
Gabrielle Vale
Carlos Baptista Barcaui
Juan Manuel Pineiro Maceira
author_facet Lara Caroline Grander
Fernanda Cabral
Alice Paixão Lisboa
Gabrielle Vale
Carlos Baptista Barcaui
Juan Manuel Pineiro Maceira
author_sort Lara Caroline Grander
collection DOAJ
description Abstract The occurrence of multiple primary melanomas in a single individual is rare. Most commonly, malignant melanocytic lesions subsequent to the initial diagnosis of melanoma are secondary cutaneous metastases. We report a patient with gastrointestinal bleeding from gastric metastasis of cutaneous melanoma. During clinical evaluation and staging, we discovered a brain metastasis associated with 3 synchronous primary cutaneous melanomas. We suggest the research on the mutation in the cyclin-dependent kinase inhibitor 2A (CDKN2A) (INK4a) in such cases. We also emphasize the importance of clinical examination and dermoscopy of the entire tegument, even after a malignant melanocytic lesion is identified.
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spelling doaj.art-5f0a38f848544a00b947f0e9d0bd84e62022-12-21T17:34:41ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962016-10-01915 suppl 19810010.1590/abd1806-4841.20164374Multiple cutaneous melanomas associated with gastric and brain metastasesLara Caroline GranderFernanda CabralAlice Paixão LisboaGabrielle ValeCarlos Baptista BarcauiJuan Manuel Pineiro MaceiraAbstract The occurrence of multiple primary melanomas in a single individual is rare. Most commonly, malignant melanocytic lesions subsequent to the initial diagnosis of melanoma are secondary cutaneous metastases. We report a patient with gastrointestinal bleeding from gastric metastasis of cutaneous melanoma. During clinical evaluation and staging, we discovered a brain metastasis associated with 3 synchronous primary cutaneous melanomas. We suggest the research on the mutation in the cyclin-dependent kinase inhibitor 2A (CDKN2A) (INK4a) in such cases. We also emphasize the importance of clinical examination and dermoscopy of the entire tegument, even after a malignant melanocytic lesion is identified.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016001100098&tlng=enCyclin-dependent kinase inhibitor proteinCyclin-dependent KinasesMelanomaNeoplasm metastasis
spellingShingle Lara Caroline Grander
Fernanda Cabral
Alice Paixão Lisboa
Gabrielle Vale
Carlos Baptista Barcaui
Juan Manuel Pineiro Maceira
Multiple cutaneous melanomas associated with gastric and brain metastases
Anais Brasileiros de Dermatologia
Cyclin-dependent kinase inhibitor protein
Cyclin-dependent Kinases
Melanoma
Neoplasm metastasis
title Multiple cutaneous melanomas associated with gastric and brain metastases
title_full Multiple cutaneous melanomas associated with gastric and brain metastases
title_fullStr Multiple cutaneous melanomas associated with gastric and brain metastases
title_full_unstemmed Multiple cutaneous melanomas associated with gastric and brain metastases
title_short Multiple cutaneous melanomas associated with gastric and brain metastases
title_sort multiple cutaneous melanomas associated with gastric and brain metastases
topic Cyclin-dependent kinase inhibitor protein
Cyclin-dependent Kinases
Melanoma
Neoplasm metastasis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016001100098&tlng=en
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