A rare cause of metastatic melanoma in the adrenal gland
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Katedra i Klinika Chorób Wewnętrznych, Uniwersytet Medyczny w Lublinie
Samodzielna Pracownia Diagnostyki Obrazowej, Samodzielny Publiczny Szpital Kliniczny Nr 1 w Lublinie
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Andrzej Prystupa   

Katedra i Klinika Chorób Wewnętrznych, Uniwersytet Medyczny w Lublinie, ul. Staszica 16, 20-081 Lublin
Med Og Nauk Zdr. 2012;18(4):402-404
Objective: To describe a rare cause of metastatic melanoma in the adrenal gland. Materials and method: A 77-year-old patient was admitted to hospital due to pain sensations localized in the right epigastrium. On palpation, a tumour, 16 x 6cm in size, was detected in the right epigastric region. The abdominal US and CT scans revealed the tumour to be located in the right adrenal gland. A biopsy was taken and its histopathological examination showed a metastatic melanoma. Additionally, the pigmented lesion on the skin of the neck was excised, which was histopathologically recognised as melanoma. The PET-CT confirmed the presence of the metastatic tumour in the right adrenal gland, and showed metastases in the mediastinum lymph node and in the skeletal system. The patient was assigned to receive tumour surgical resection, radiation therapy and chemotherapy. Key words: abdominal pain, metastatic melanoma to adrenal gland, melanoma

Prystupa A, Kurys-Denis E, Krupski W, Mosiewicz J. Diagnostics of acute pain in abdominal right Upper quadrant. J Pre-Clin Clin Res. 2011; 5: 56-59.
Reznek RH, Armstrong P. The adrenal gland. Clin Endocrinol. 1994; 40: 561-576.
Bohdanowicz-Pawlak A, Bladowska J, Szymczak J, Bednarek-Tupikow¬ska G, Bidzińska B, Affelska-Jercha A. Obserwacja przebiegu przypadkowo wykrytych guzów nadnerczy (incidentaloma) w materiale Kliniki Endokrynologii i Diabetologii AM we Wrocławiu. Adv Clin Exp Med. 2003; 12: 607-613.
MacKie RM, Bray CA, Holc DJ, Morris A, Nicolson M, Evans A, Doherty V, Vestey J. Scottish melanoma Group: Incidence and survival from malignant melanoma in Scotland: an epidemiological study. Lancet 2002; 360: 587-591.
Kalkman E, Baxter G. Melanoma. Clin Radiol. 2004; 59: 313-326.
Mittendorf EA, Lim SJ, Schacherer CW, Lucci A, Cormier JN, Mansfield PF, Gershenwald JE, Ross MI, Lee JE. Melanoma adrenal metastasis: natural history and surgical management.Am J Surg. 2008; 195(3): 363-8; discussion 368-9.
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