Diffuse cutaneous melanosis: rare complication of metastatic melanoma*

نویسندگان

  • Ana Cristina Vervloet do Amaral
  • Lucia Martins Diniz
  • Elton Almeida Lucas
  • Rafaela Lorenzon de Aragão Capeli
چکیده

Diffuse cutaneous melanosis is a rare complication of metastatic melanoma related to a worse prognosis. There are few cases reported in the literature. Its pathogenesis has not been completely elucidated, although studies have suggested certain mechanisms for its occurrence. It is clinically manifested as a blue-gray discoloration of the skin and mucous membranes in a cephalo caudal progression and usually associated with melanuria. Skin and mucosa histopathology reveals only the presence of melanophages in the dermis, mainly perivascular, and free interstitial melanin. We report the case of a 68-year-old male with metastatic melanoma, diffuse hyperpigmentation of the skin and melanuria.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Diffuse melanosis cutis related to dermal micrometastases as the first clinical symptom of distant metastatic malignant melanoma

RATIONALE Diffuse melanosis cutis (DMC) is a very rare sign of malignant melanoma progression. The condition usually develops after approximately one year from melanoma diagnosis in a patient with metastatic tumors and after anticancer treatment with cytostatic medications. PATIENT CONCERNS A 72-year old Caucasian man was admitted to the Department of Dermatology with DMC for 4 months and the...

متن کامل

Nasal mucosal melanosis may act as a harbinger of melanoma: A case report

BACKGROUND The progression from a benign pigmented lesion on the skin to cutaneous melanoma is better understood, and it could be presumed that a similar progression occurs with mucosal lesions. However, to our knowledge, there has never been documentation of melanosis transforming into melanoma over time. OBJECTIVE To describe a transformation of a mucosal melanosis into melanoma. METHODS ...

متن کامل

Tumoral Melanosis Associated with Pembrolizumab-Treated Metastatic Melanoma

Tumoral melanosis is a form of completely regressed melanoma that usually presents as darkly pigmented lesions suspicious for malignant melanoma. Histology reveals dense dermal and subcutaneous infiltration of melanophages. Pembrolizumab is an antibody directed against programmed death receptor-1 (PD1) and is frontline treatment for advanced melanoma. An 81-year-old man with metastatic melanoma...

متن کامل

Neurocutaneous melanosis presented with giant congenital melanocytic nevi and primary intracranial melanoma

Neurocutaneous melanosis is a rare neurocutaneous syndrome defi ned by the presence of multiple and /or giant congenital cutaneous nevi and melanocytic deposits in the central nervous system with the infi ltration of leptomeninges. The major medical concern with giant congenital cutaneous nevi is high risk of developing cutaneous melanoma, leptomeningeal melanoma, and neurocutaneous melanosis. ...

متن کامل

Generalized and mucosal melanosis associated with ultra-late recurrence of malignant melanoma.

We describe a patient with progressive hyperpigmentation of the skin and gas-trointestinal melanosis. The pigmented lesions in the stomach and duodenum served as a diagnostic sign of recurrent disease, 26 years after excision of melano-ma of the skin. A barium swallow and gastroduodenos-copy were performed in a healthy 63-year-old man who had been suffering from vague abdominal symptoms for a f...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 92  شماره 

صفحات  -

تاریخ انتشار 2017