Placental metastasis of maternal melanoma - 29/08/11

Doi : 10.1016/S0190-9622(03)00124-5

Jamie F. Altman, MD ^a, Lori Lowe, MD ^a,^e, Bruce Redman, DO ^d, Peg Esper, MSN, RN ^d, Jennifer L. Schwartz, MD ^a, Timothy M. Johnson, MD ^a,^b,^c,^⁎ , Hope K. Haefner, MD ^f
^a Department of Dermatology, University of Michigan Comprehensive Cancer Center, and University of Michigan Health System, Ann Arbor, Michigan, USA
^b Department of Otorhinolaryngology, University of Michigan Comprehensive Cancer Center, and University of Michigan Health System, Ann Arbor, Michigan, USA
^c Department of Surgery (Division of Plastic Surgery), University of Michigan Comprehensive Cancer Center, and University of Michigan Health System, Ann Arbor, Michigan, USA
^d Department of Internal Medicine, University of Michigan Comprehensive Cancer Center, and University of Michigan Health System, Ann Arbor, Michigan, USA
^e Department of Pathology, University of Michigan Comprehensive Cancer Center, and University of Michigan Health System, Ann Arbor, Michigan, USA
^f Department of Obstetrics and Gynecology, University of Michigan Comprehensive Cancer Center and University of Michigan Health System, Ann Arbor, Michigan, USA

^*Reprint requests: Timothy M. Johnson, MD, University of Michigan, Department of Dermatology, 1910 Taubman Center, Ann Arbor, MI 48109-0314, USA

Abstract

Metastasis of maternal malignant tumor to the products of conception is a rare event. Melanoma is the most common maternal malignant tumor to metastasize to the placenta and the fetus. We report the case of a 28-year-old woman with melanoma during pregnancy. At parturition, histologic evaluation of the placenta revealed metastatic melanoma, and multiple organ metastasis developed. The infant was free of disease. Metastasis to products of conception portends a poor prognosis for the mother. To our knowledge, this report is the first of a patient with melanoma metastasis to the placenta to survive more than 7 months after parturition. As caretakers of patients with melanoma, dermatologists are in a position to coordinate and direct the care and follow-up treatment of affected patients.

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Funding sources: None.
Conflict of interest: None identified.

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Vol 49 - N° 6

P. 1150-1154 - décembre 2003 Retour au numéro

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Placental metastasis of maternal melanoma - 29/08/11

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