A case of laparoscopic partial hepatic S7 resection for postoperative liver metastasis of rectal malignant melanoma.

Autor: Takahashi, Makoto, Morita, Yasuhiro, Hayashi, Tatsuya, Yanagibashi, Susumu, Sato, Shunsuke, Sasaki, Shu, Takuma, Kunio, Okada, Haruka
Předmět:
Zdroj: Surgical Case Reports; 10/26/2024, Vol. 7 Issue 1, p1-5, 5p
Abstrakt: Background: Anorectal malignant melanoma (ARMM) has an extremely poor prognosis, and there is no report of resection of liver metastases so far. We report herein a rare case of postoperative laparoscopic partial hepatic S7 resection for rectal malignant melanoma. Case presentation: A 51-year-old female patient with a diagnosis of an ARMM underwent a laparoscopic rectal amputation. Eleven months later, computed tomography (CT) revealed a 14-mm nodule in liver segment 7 (S7), which was diagnosed as a hepatic recurrence of the ARMM. Because no other recurrences were found, a laparoscopic partial resection of S7 was performed. Pathological analysis found intracellular melanin deposition, and immunostaining was S-100 (+), HMB-45 (+), and SOX-10 (+). Based on these findings, a liver metastasis of malignant melanoma was diagnosed. The patient is alive 7 months after the second surgery and has so far experienced no recurrences. Conclusion: We reported an extremely rare case of a laparoscopic resection of a liver metastasis following surgery for ARMM. [ABSTRACT FROM AUTHOR]
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