Dates | Relevant medical history |
---|---|
02/2010 | Superficial spreading malignant melanoma localized at left instep, successfully treated with radical local resection (pT1a, Clark-level II, 0.2 mm thickness, R0) |
01/2013 | First description of a suspicious splenic lesion found in a routine ultrasound examination of the abdomen conducted by his general practitioner. |
03–04/2013 | Admission of the patient to our hospital. Esophagogastroduodenoscopy, ultrasound, CEUS (SonoVue®), CT, MRI, bone scintigraphy, and ultrasound-guided FNA were carried out. The immunohistochemical results of the FNA led to the initial diagnosis of metastases of malignant melanoma. |
04/2013 | Case presentation and discussion at our local tumor board. Splenectomy was recommended. The patient was vaccinated against Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis 2 weeks prior to surgery. |
05/2013 | Laparoscopic splenectomy, uneventful postoperative course. Discharge of the patient after 5 days. |