Metastatic Melanoma of the Common Bile Duct Presented with Dyspepsia
Küçük Resim Yok
Tarih
2024
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Korean Soc Gastroenterology
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Malignant melanoma (MM) is an aggressive tumor that can metastasize to any organ, but biliary tract metastasis is scarce. We describe a very rare case of MM metastasis to the common bile duct (CBD), presented with only dyspeptic symptoms. The patient had mildly elevated alkaline phosphatase and gamma-glutamyl transferase levels. Magnetic resonance cholangiopancreatography demonstrated a dilated common bile duct with a distal stricture. The MM diagnosis was established with the ampulla of Vater biopsy specimens obtained by endoscopic retrograde cholangiopancreatography (ERCP), and the patient's symptoms were resolved after biliary stenting. Both primary CBD cancer and other cancer types like MM that metastasize to CBD can cause obstruction and can be manifested only by dyspeptic symptoms. MM metastasis to CBD can cause obstruction manifested only by dyspeptic symptoms without obstructive jaundice. ERCP can be employed as a promising option for treatment and diagnosis. New-onset dyspeptic symptoms in patients with a history of MM should be investigated thoroughly, especially in the context of biliary metastasis.
Açıklama
Anahtar Kelimeler
Malignant melanoma, Common bile duct, Metastasis, Endoscopic retrograde cholangiopancreatography, Biopsy, Malignant-Melanoma
Kaynak
Korean Journal of Gastroenterology
WoS Q Değeri
N/A
Scopus Q Değeri
Q4
Cilt
83
Sayı
4
