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Skeletal metastases of melanoma.

Publication ,  Journal Article
Stewart, WR; Gelberman, RH; Harrelson, JM; Seigler, HF
Published in: J Bone Joint Surg Am
July 1978

Sixteen hundred and seventy-seven melanoma patients were treated at Duke University Medical Center from 1956 to 1976. Osseous metastases were more common than previously reported and occurred in 116 patients (6.9 per cent), most often in the axial skeleton. Diagnosis was made by roentgenogram, bone scan, or both in the symptomatic patient. Seventy-five patients sustained pathological fractures, most of which were successfully treated conservatively. Nine of the ten patients with neurological symptoms were improved by laminectomy. The grave prognosis for melanoma patients with osseous metastases (mean survival, 3.6 months) led to conservatism even for an impending pathological fracture. Unstable pathological fractures of long bones were treated by internal fixation and irradiation.

Duke Scholars

Published In

J Bone Joint Surg Am

ISSN

0021-9355

Publication Date

July 1978

Volume

60

Issue

5

Start / End Page

645 / 649

Location

United States

Related Subject Headings

  • Skin Neoplasms
  • Radiography
  • Pelvic Bones
  • Orthopedics
  • Neoplasm Metastasis
  • Melanoma
  • Male
  • Lumbar Vertebrae
  • Humans
  • Femur
 

Citation

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Stewart, W. R., Gelberman, R. H., Harrelson, J. M., & Seigler, H. F. (1978). Skeletal metastases of melanoma. J Bone Joint Surg Am, 60(5), 645–649.
Stewart, W. R., R. H. Gelberman, J. M. Harrelson, and H. F. Seigler. “Skeletal metastases of melanoma.J Bone Joint Surg Am 60, no. 5 (July 1978): 645–49.
Stewart WR, Gelberman RH, Harrelson JM, Seigler HF. Skeletal metastases of melanoma. J Bone Joint Surg Am. 1978 Jul;60(5):645–9.
Stewart, W. R., et al. “Skeletal metastases of melanoma.J Bone Joint Surg Am, vol. 60, no. 5, July 1978, pp. 645–49.
Stewart WR, Gelberman RH, Harrelson JM, Seigler HF. Skeletal metastases of melanoma. J Bone Joint Surg Am. 1978 Jul;60(5):645–649.
Journal cover image

Published In

J Bone Joint Surg Am

ISSN

0021-9355

Publication Date

July 1978

Volume

60

Issue

5

Start / End Page

645 / 649

Location

United States

Related Subject Headings

  • Skin Neoplasms
  • Radiography
  • Pelvic Bones
  • Orthopedics
  • Neoplasm Metastasis
  • Melanoma
  • Male
  • Lumbar Vertebrae
  • Humans
  • Femur