Ct of malignant melanoma: Patterns of small bowel and mesenteric involvement

Akira Kawashima, Elliot K. Fishman, Janet E. Kuhlman, Lynn M. Schuchter

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32 Scopus citations


Abdominal CT of 230 patients (310 CT examinations) with a diagnosis of malignant melanoma was retrospectively reviewed for the evaluation of small bowel and mesenteric involvement. Seventeen (7.4%) patients had evidence of small bowel and mesenteric involvement on CT. There were four distinct patterns of disease: (a) intraluminal masses in 3 patients; (b) ulcerating lesions in 2; (c) diffuse infiltration in 6; (d) implants in 10. Four patients had more than two patterns of involvement. Of the 10 patients with tumor implants, carcinomatosis was noted in 2. Two patients had intussusception and 4 had extensive mesenteric nodal involvement. Of the 17 patients, 12 (71%) had at least one symptom referable to the gastrointestinal tract, while 5 (29%) were clinically asymptomatic. Fourteen of the 17 patients (82%) had additional intraabdominal metastases to sites other than small bowel and mesentery.

Original languageEnglish (US)
Pages (from-to)570-574
Number of pages5
JournalJournal of computer assisted tomography
Issue number4
StatePublished - Jul 1991


  • Computed tomography
  • Gastrointestinal tract neoplasms
  • Melanoma malignant
  • Mesentery neoplasms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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