J Korean Orthop Assoc.  1978 Dec;13(4):721-725. 10.4055/jkoa.1978.13.4.721.

Bone Metastasis of Malignant Melanoma: A case report

Abstract

The following case report concerns a rare bone metastasis of malignant melanoma occurring in the 4th and 5th lumbar spines and adjacent iliac crests and sacrum. A 42-year-old woman was admitted with a 6 months history of severe lumbago ar right flank pain radiating to right lower extremity. Preoperative X-ray studies revealed stag horn stone in the right renal pelvis as spondylolisthesis of the 5th lumbar spine with bilateral isthmic defects. On physical examinations, dark brown colored nevus was noted at lower lumbar regio which was removed and subjected for biopsy. Surgical exploration demonstrated a melanoma metastasis to have invaded the spine process, lamina and transverse processes of the 5th lumbar spine, adjacent L4 and sacru and iliac crests. Surrounding soft tissues, however, were apparently normal. Postoperatively course of the patient seemed to follow a rapidly terminal clinical cours.


MeSH Terms

Adult
Animals
Biopsy
Female
Flank Pain
Horns
Humans
Kidney Pelvis
Low Back Pain
Lower Extremity
Melanoma*
Neoplasm Metastasis*
Nevus
Physical Examination
Sacrum
Spine
Spondylolisthesis
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