Simultaneous Thoracic Spine Metastatic Melanoma and Pre-existing Prostate Adenocarcinoma: A Unique Case Presentation and Literature Review.

association: prostate cancer melanoma and nevi melanoma primary melanoma protocol prostate cancer (pca)

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Aug 2023
Historique:
accepted: 12 08 2023
medline: 14 9 2023
pubmed: 14 9 2023
entrez: 14 9 2023
Statut: epublish

Résumé

In melanoma patients, distant metastases frequently manifest in the skin, lung, brain, liver, bone, and intestine. Notably, bone metastasis predominantly occurs within the axial skeleton, with the lumbar and thoracic spines being the most affected regions. Conversely, prostate cancer often disseminates to the bone, lung, liver, pleura, and adrenal glands. The spinal column, particularly the lumbar region, frequently harbors metastases in prostate cancer cases. Given the proximity of axial lesions to the spinal cord, patients commonly experience pain, weakness, and urinary dysfunction. This article presents a compelling case report of a patient initially diagnosed with metastatic prostate cancer, who later exhibited a metastatic lesion in the thoracic spine, subsequently identified as originating from acral melanoma on the plantar surface of the right foot. Histopathological examination confirmed the presence of acral melanoma in both the spine and the right foot. The patient received comprehensive treatment for advanced melanoma from a multidisciplinary team comprising medical and radiation oncologists. Considering the overlapping pathophysiology of prostate cancer and melanoma, simultaneous screening for both diseases in cases where one is detected could yield significant benefits, including enhanced morbidity and mortality outcomes and the facilitation of early detection for secondary malignancies.

Identifiants

pubmed: 37706116
doi: 10.7759/cureus.43429
pmc: PMC10497177
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e43429

Informations de copyright

Copyright © 2023, Venkata et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Srikanth A Venkata (SA)

Neurology, Brookdale University Hospital Medical Center, Brooklyn, USA.

Narek Hakobyan (N)

Internal Medicine, Brookdale University Hospital Medical Center, Brooklyn, USA.

Ruchi Yadav (R)

Hematology and Oncology, Brookdale University Hospital Medical Center, Brooklyn, USA.

Akriti Pokhrel (A)

Internal Medicine, Brookdale University Hospital Medical Center, Brooklyn, USA.

Fares Jamal (F)

Internal Medicine, Brookdale University Hospital Medical Center, Brooklyn, USA.
College of Medicine, Saba University School of Medicine, The Bottom, BES.

Omar Oudit (O)

Internal Medicine, Touro College of Osteopathic Medicine, Brooklyn, USA.

Avezbakiyev Boris (A)

Hematology and Oncology, Brookdale University Hospital Medical Center, Brooklyn, USA.

Arthur Kay (A)

Neurology, Brookdale University Hospital Medical Center, Brooklyn, USA.

Classifications MeSH