Metastatic malignant melanoma with peritoneal seeding in a y
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Case report
A 22-year-old nulliparous, woman from Mongolia visited a department of obstetrics and gynecology complaining of lower abdominal pain that had developed about 1 week previously. She had undergone a pelviscopic myomectomy for uterine myomas 2 years before this visit. On transvaginal ultrasonography, an 8cm sized uterine solid mass and other pelvic masses were found, but both ovaries seemed intact. Computed tomography (CT) scanning showed similar findings to the ultrasonography. With the diagnosis of a gynecologic malignancy, she was referred to our hospital.

At initial workup in our hospital, moderate anemia was found: the patient's hemoglobin concentration was 8.7 mg/dL and the hematocrit 28.8%. The tumor marker CA-125 level was elevated (226 U/mL). Re-evaluation of the CT scan showed multiple solid enhancing masses in the uterus, peritoneal cavity, and retroperitoneal cavity with moderate amount of ascites. No lymph node was significantly enlarged (Fig. 1). Intravenous leiomyomatosis with pseudo-Meig syndrome was suspected, but the possibility of a uterine sarcoma could not be excluded....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4038693/
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