{"id":2022,"date":"2015-10-01T01:00:00","date_gmt":"2015-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/melanome-gastrique-primitif-complique-secondairement-dune-metastase-grelique-hemorragique\/"},"modified":"2018-10-20T18:40:15","modified_gmt":"2018-10-20T16:40:15","slug":"melanome-gastrique-primitif-complique-secondairement-dune-metastase-grelique-hemorragique","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/melanome-gastrique-primitif-complique-secondairement-dune-metastase-grelique-hemorragique\/","title":{"rendered":"M\u00e9lanome gastrique primitif compliqu\u00e9 secondairement d\u2019une m\u00e9tastase gr\u00ealique h\u00e9morragique."},"content":{"rendered":"<p><strong>2015<\/strong><\/p>\n<p><em>Annie LIM(1), Mehdi KAASSIS(1), Julien BAUDON(1), Mustapha EL NASSER(2), Ang\u00e9lique MARCHAND(3),  Marie-Christine ROUSSELET(4), Claude BIDABE (4)<br \/>\n1 : h\u00e9pato gastroent\u00e9rologie, 2 :  chirurgie visc\u00e9ale, 3 : dermatologie, Centre Hospitalier, Cholet<br \/>\n4 : anatomopathologie, laboratoire et CHU Angers<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02015-04-29 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Les m\u00e9lanomes gastriques primitifs sont rares et de pronostic s\u00e9v\u00e8re. Le diagnostic histologique est complexe et souvent confondu avec d\u2019autres pathologies tumorales, l\u2019immunohistochimie permet  de confirmer le diagnostic.<\/p>\n<p>Nous reportons le cas d\u2019un patient de 78 ans, sans ant\u00e9c\u00e9dent particuliers, chez qui il a \u00e9t\u00e9 d\u00e9couvert dans un contexte de bilan d\u2019an\u00e9mie ferriprive, une l\u00e9sion fundique ulc\u00e9r\u00e9e de la grosse tub\u00e9rosit\u00e9 dont l\u2019analyse montrait un m\u00e9lanome gastrique, confirm\u00e9 \u00e0 l\u2019analyse histologique apr\u00e8s gastrectomie partielle. L&rsquo;examen dermatologique et opthalmologique \u00e9tait normal. Le bilan d\u2019extension avec PET scan et TDM \u00e9tait n\u00e9gatif. Aucune l\u00e9sion cutan\u00e9e primitive n\u2019a \u00e9t\u00e9 retrouv\u00e9e malgr\u00e9 un suivi dermatologique trimestriel. <\/p>\n<p>Le patient a consult\u00e9 1 an apr\u00e8s pour r\u00e9cidive d\u2019an\u00e9mie microcytaire. La  fibroscopie  et la coloscopie \u00e9taient normales. La vid\u00e9ocapsule retrouvait une l\u00e9sion ulc\u00e9ro-bourgeonnante h\u00e9morragique j\u00e9junale (cf s\u00e9quence vid\u00e9o capsule). L\u2019examen dermatologique \u00e9tait sans particularit\u00e9. Le bilan d\u2019extension \u00e9tait n\u00e9gatif avec TDM, le PET scan retrouvait la l\u00e9sion gr\u00e8lique sans autre localisation. La r\u00e9section du gr\u00e8le de 25 cm retrouvait sur la pi\u00e8ce op\u00e9ratoire une m\u00e9tastase gr\u00ealique d\u2019un m\u00e9lanome malin (photo per op). Une surveillance \u00e9tait d\u00e9cid\u00e9e en RCP. Aucun primitif cutan\u00e9 n\u2019a \u00e9t\u00e9 retrouv\u00e9 \u00e0 ce jour.<\/p>\n<p>Notre cas clinique est le celui d\u2019un  m\u00e9lanome gastrique primitif avec m\u00e9tastase gr\u00ealique. Cette observation, rare, est l\u2019occasion de discuter des localisations digestives des m\u00e9lanomes, de discuter des enjeux diagnostics et de la physiopathologie controvers\u00e9e de ces rares cas de m\u00e9lanomes gastriques.<\/p>\n<p>pi\u00e8ces jointes :<br \/>\nVid\u00e9o capsule du gr\u00e8le<br \/>\nPhoto per op\u00e9ratoire m\u00e9tastase du gr\u00e8le.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2015 Annie LIM(1), Mehdi KAASSIS(1), Julien BAUDON(1), Mustapha EL NASSER(2), Ang\u00e9lique MARCHAND(3), Marie-Christine ROUSSELET(4), Claude BIDABE (4) 1 : h\u00e9pato gastroent\u00e9rologie, 2 : chirurgie visc\u00e9ale, 3 : dermatologie, Centre Hospitalier, Cholet 4 : anatomopathologie, laboratoire et CHU Angers Gastroent\u00e9rologie &#8211; \u00a02015-04-29 &#8211;\u00a0CC &#8211; ________________________________ Les m\u00e9lanomes gastriques primitifs sont rares et de pronostic s\u00e9v\u00e8re. Le [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[26],"class_list":["post-2022","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-26"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>M\u00e9lanome gastrique primitif compliqu\u00e9 secondairement d\u2019une m\u00e9tastase gr\u00ealique h\u00e9morragique. - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/melanome-gastrique-primitif-complique-secondairement-dune-metastase-grelique-hemorragique\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"M\u00e9lanome gastrique primitif compliqu\u00e9 secondairement d\u2019une m\u00e9tastase gr\u00ealique h\u00e9morragique. - 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