Management of intramuscular melanoma metastases to the psoas.


Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
05 Jun 2024
Historique:
medline: 6 6 2024
pubmed: 6 6 2024
entrez: 5 6 2024
Statut: epublish

Résumé

We detail a case of a woman in her 40s with isolated melanoma skeletal muscle metastasis (MSMM) to the right psoas muscle. This patient underwent R0 surgical resection through a novel pelvic approach. She received subsequent adjuvant immunotherapy with Braftovi/Mektov along with adjuvant radiation. She is currently disease free at 9 months post surgery. Here, we describe our novel surgical approach including description of the tumour pathology. We explain our multidisciplinary management of MSMM consisting of a multidisciplinary surgical approach by surgical oncology, gynecological oncology and urology as well as multidisciplinary medical management by oncology, radiation oncology and pathology. Finally, we discuss best current options for therapeutic management.

Identifiants

pubmed: 38839419
pii: 17/6/e257500
doi: 10.1136/bcr-2023-257500
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Charles Joseph Cash (CJ)

Medicine, University of Miami Miller School of Medicine, Miami, Florida, USA cjc636@med.miami.edu.

Joseph Matthew Pearson (JM)

Gynecologic Oncology, University of Miami Miller School of Medicine, Miami, Florida, USA.

Clara Milikowski (C)

Department of Pathology and Laboratory Medicine, University of Miami School of Medicine, Miami, Florida, USA.

Lynn Feun (L)

Department of Hematology and Oncology, University of Miami Miller School of Medicine, Miami, Florida, USA.

Chad Ritch (C)

Department of Urologic Oncology, University of Miami Miller School of Medicine, Miami, Flordia, USA.

Mecker G Möller (MG)

University of Miami Miller School of Medicine, Miami, Florida, USA.
Surgical Oncology, The University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA.

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