Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Jan 15, 2023; 15(1): 205-214
Published online Jan 15, 2023. doi: 10.4251/wjgo.v15.i1.205
Surgical treatments of recurrent small intestine metastatic melanoma manifesting with gastrointestinal hemorrhage and intussusception: A case report
Wen-Juan Fan, Heng-Hui Cheng, Wang Wei
Wen-Juan Fan, Wang Wei, Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China
Wen-Juan Fan, Hubei Key Laboratory of Hepato-Pancreato-Biliary Diseases, Wuhan 430030, Hubei Province, China
Heng-Hui Cheng, Institution of Pathology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China
Author contributions: Fan WJ reviewed the literature and contributed to manuscript drafting and imaging data interpretation; Cheng HH evaluated all pathological information of the patient and provided pathological pictures; Wei W was responsible for revising the manuscript for important intellectual content; all authors provided approval of the final version for submission and publication.
Supported by National Natural Science Foundation of China, No. 82100568.
Informed consent statement: Informed written consent was obtained from the family members of the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wang Wei, MD, Attending Doctor, Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avanue, Wuhan 430030, Hubei Province, China. eric21cn@163.com
Received: November 5, 2022
Peer-review started: November 5, 2022
First decision: November 23, 2022
Revised: November 24, 2022
Accepted: December 13, 2022
Article in press: December 13, 2022
Published online: January 15, 2023
Processing time: 66 Days and 3.6 Hours
Core Tip

Core Tip: Malignant melanoma is one of the most aggressive forms of skin cancer, with a high metastatic potential and poor prognosis. We report a patient who presented with intermittent melena and history of acral malignant melanoma. Abdominal imaging showed a neoplastic lesion of the small intestine with intussusception formation. Postoperative pathology confirmed small intestine metastatic melanoma. The patient refused further comprehensive treatment including immunotherapy and chemotherapy and experienced disease relapse 1 year later. The patient underwent a second surgery, which revealed multiple small intestine metastatic melanoma lesions. The patient was alive at last follow-up without receiving adjuvant anti-tumor therapy.