Neurocutaneous Melanosis in an Grownup Affected person with Intracranial Main Malignant Melanoma: Case Report and Evaluate of the Literature.
World Neurosurg. 2018 Jun;114:76-83
Authors: Ma M, Ding ZL, Cheng ZQ, Wu G, Tang XY, Deng P, Wu JD
BACKGROUND: To discover the medical traits of neurocutaneous melanosis (NCM) in grownup sufferers to assist enhance analysis and therapy of this illness, we current a uncommon case of an grownup affected person affected by NCM with malignant melanoma, in addition to a evaluation of the related Chinese language and English literature.
CASE DESCRIPTION: The affected person reported right here plus the sufferers recognized in our literature evaluation whole 30 adults with NCM (20 males [66.7%] and 10 females [33.3%]), age 19-65 years (common, 27.9 years). These embrace 24 instances of malignant melanoma (80.zero%), three instances of melanocytoma (10.zero%), 2 instances of diffuse melanocytosis (6.7%), and 1 case of unknown pathology (three.three%). Satellite tv for pc nevi had been reported in 25 instances (83.three%) and in 5 instances their presence was unknown (16.7%). Intracranial lesions had been current in 28 instances (93.three%), and intraspinal lesions had been current in 2 instances (6.7%). There are four instances of mixed hydrocephalus (13.three%), and a couple of instances of mixed Dandy-Walker deformity (6.7%).
CONCLUSIONS: NCM is a uncommon illness, particularly in adults. With the onset of signs, the analysis is mostly confirmed. In kids with congenital big nevus, common periodic surveys of the central nervous system (mind and spinal twine) with magnetic resonance imaging or cerebrospinal fluid evaluation ought to be carried out to diagnose NCM. Lively therapy ought to be undertaken to enhance the prognosis.
PMID: 29530698 [PubMed – indexed for MEDLINE]