Clinical Study

Emergency Surgery for Metastatic Melanoma

Table 1

Clinicopathological characteristics, operative data, and outcomes.

NumberGenderAgeLDHAdj TxClinical presentationGI sitePrimaryExtra GI metastasisSurgeryPostoperative courseFollow-up (months)DFSRecurrenceOS

1F71IncreasedYesObstructionJejunum, ileumHyponychiumNo3 enterectomiesUneventful169Peritoneum, brain16
2M85NormalYesObstructionIleumBackNoEnterectomyUneventful1812Peritoneum, lung18
3M33IncreasedYesObstructionJejunum, ileumLower extremityNo2 enterectomiesUneventful106Brain10
4F66IncreasedYesObstructionIleumBackNo2 enterectomiesUneventful1911Lung19
5M61IncreasedYesObstructionIleumThighBladder3 enterectomiesUneventful90Peritoneum9
6F57IncreasedYesObstructionIleumSoleOmentumEnterectomyUneventful110Peritoneum11
7M65NormalYesObstructionIleumCutaneousPeritoneumJejunum-transverse bypassObstruction reoperation70Peritoneum, brain7
8M66IncreasedYesObstructionIleumUpper extremityNoEnterectomyUneventful2420Brain24
9F52IncreasedYesObstructionIleumCutaneousNoMultiple enterectomiesObstruction reoperation10Peritoneum0,5
10M17IncreasedYesObstructionIleocecal valveBackNoRight hemicolectomyUneventful146Brain14
11F47IncreasedYesBleedingAdrenalLower extremityNoLap. adrenalectomyObstruction reoperation2626No26
12M68IncreasedYesBleedingSpleenBackNoSplenectomyUneventful1412Peritoneum14
13M65IncreasedYesBleedingStomachBackNoWedge resectionUneventful2219Peritoneum22
14M50IncreasedYesBleedingRectumUpper extremityNoTransanal resectionUneventful30Local, brain3

Total: 14 patients, median age: 63 years (17–85), median follow-up: 14 months (0–26), median DFS: 7 (0.5–26), median OS: 14 months, 1 y OS: 64.20%, and 2 y OS: 14.20%.