Unusual Visitor in Bone Marrow—Metastatic Malignant Melanoma

Paswan, Vinita; Chandra, Dinesh; Qayoom, Sumaira; Nityanand, Soniya

doi:10.1007/s12288-020-01364-y

Cited by 1 publication

(2 citation statements)

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“…1 and Table 1, respectively. The included studies were published from 1941 to date [1,2,4–74], with a peak between 2013 and 2023 (60%; 44/73).…”

Section: Resultsmentioning

confidence: 99%

“…In this comprehensive systematic review spanning from 1941 to 21 August 2023, we have meticulously analyzed a total of 73 studies encompassing 146 patients with BMM arising from melanoma with three additional cases of our institutions (San Raffaele Hospital, Milano and Papa Giovanni XXIII Hospital, Bergamo) [1,2,4–74]. Historically, bone marrow involvement in melanoma has been considered a relatively infrequent event, occurring in approximately 5–7% of cases [1,2].…”

Section: Discussionmentioning

confidence: 99%

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Bone marrow metastases: a systematic review of a neglected involvement in malignant melanoma

Paolino,

Carugno,

Rongioletti

et al. 2023

Melanoma Research

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The occurrence of bone marrow metastases (BMM) in melanoma patients is often underestimated, with only 7% detected during in-vivo staging procedures but rising to 45% in autopsy cases. This systematic review aims to shed light on the clinical and laboratory features of BMM in melanoma by analyzing 73 studies selected from 2 482 initially retrieved from PubMed, Embase, and Cochrane CENTRAL databases. Our findings reveal a slight male predominance, with a median age at BMM diagnosis of 56 years. Primary melanoma sites included the skin (52%), mucosa (8.8%), uvea (20.5%) and unidentified (19%). BMM was preceded by lymph node involvement in 36.5% of cases, whereas 63% showed no nodal metastases, with direct BMM occurring in 22.5% and metastases to other sites in 41%. Common BMM symptoms included pain (60.7%), anemia (80%), thrombocytopenia, leukoerythroblastosis, pancytopenia and leukopenia, while disseminated intravascular coagulation was detected in 11% of cases. In 23.6% of cases, BMM was amelanotic. The prognosis for BMM is grim, with a median survival of only 2 months. Conventional therapies for BMM remain largely ineffective, emphasizing the importance of considering bone marrow as a potential metastatic site in melanoma patients.

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“…1 and Table 1, respectively. The included studies were published from 1941 to date [1,2,4–74], with a peak between 2013 and 2023 (60%; 44/73).…”

Section: Resultsmentioning

confidence: 99%