Dermatological follow up of malignant melanoma is not skin deep: A cardiac presentation of metastatic melanoma

Wright, A., Yudi, M. and Wee, Y. (2012). Dermatological follow up of malignant melanoma is not skin deep: A cardiac presentation of metastatic melanoma. In: Abstracts: ACD 45th Annual Scientific Meeting 2012. The Australasian College of Dermatologists 45th Annual Scientific Meeting, Brisbane, Australia, (55-55). 20-23 May 2012. doi:10.1111/j.1440-0960.2012.00892.x


Author Wright, A.
Yudi, M.
Wee, Y.
Title of paper Dermatological follow up of malignant melanoma is not skin deep: A cardiac presentation of metastatic melanoma
Conference name The Australasian College of Dermatologists 45th Annual Scientific Meeting
Conference location Brisbane, Australia
Conference dates 20-23 May 2012
Proceedings title Abstracts: ACD 45th Annual Scientific Meeting 2012   Check publisher's open access policy
Journal name Australasian Journal of Dermatology   Check publisher's open access policy
Place of Publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Publication Year 2012
Sub-type Published abstract
DOI 10.1111/j.1440-0960.2012.00892.x
ISSN 0004-8380
1440-0960
Volume 53
Issue s1
Start page 55
End page 55
Total pages 1
Language eng
Formatted Abstract/Summary
Introduction: Metastatic melanoma is notorious for its
aggressive behaviour and consequent extremely poor prognosis.
It has the highest rate of cardiac involvement of any
malignancy with a wide array of clinical presentations
ranging from non-specifi c symptoms to cardiac tamponade
and sudden cardiac death. We report a case of metastatic
melanoma diagnosed clinically during routine dermatology
follow up.

Case presentation:
A 49 year old man with previously
resected stage II malignant melanomas in 2002 and 2008 was
urgently referred from dermatology clinic for evaluation of
symptoms of chest pain, progressive shortness of breath and
diaphoresis. Physical fi ndings were suggestive of cardiac
tamponade. Cardiology review and echocardiography confi
rmed a pericardial effusion with tamponade physiology.
Urgent paracentesis was performed for diagnostic and therapeutic
purposes. Though pericardial fl uid cytology was negative,
CT and MR imaging confi rmed an invasive cardiac mass
and widespread metastatic disease. Despite four cycles of
dacarbazine, our patient passed away fi ve months later.

Conclusion:
Regular dermatological follow up of patients
with previously resected melanoma is an essential component
of long term management. Dermatologists should
have a high index of suspicion for metastatic disease when
their patients complain of cardiac symptoms.
Q-Index Code CX
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Conference Paper
Collections: UQ Centre for Clinical Research Publications
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