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Cutaneous malignant melanoma metastatic to a uterine leiomyoma: a case report
Ryan T Bakelaar1, John T Soper, Christopher V Lutman
1Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina, USA.
Background:
Malignant melanoma is the sixth-most-common cancer in the United States and can spread throughout the body. This report represents the second case of a cutaneous melanoma involving a uterine leiomyoma.
Case:
A 49-year-old woman presented with an inguinal mass; biopsy revealed an undifferentiated neoplasm. Further examination and computed tomography revealed an enlarged, fibroid uterus. The patient underwent a total abdominal hysterectomy, bilateral salpingo-oophorectomy and right inguinal lymphadenectomy. Histologic examination of the inguinal lymph node and the leiomyoma revealed metastatic melanoma.
Conclusion:
As the incidence of melanoma increases, metastasis to unusual locations, such as uterine fibroids, probably will be encountered more frequently.
