Melanoma in Pregnancy: A Shocking Report [ID 2683420

Abstract

INTRODUCTION: This case describes the clinical course of a 25-year-old patient presenting for her 16-week obstetric check who was emergently diagnosed with stage 4 melanoma with metastasis to the oral cavity, liver, and skin. The young age of the patient and rapid advancement of the disease make this case worthy of attention. The study of this patient is designed to provide context and data for the actively growing body of literature on the potential relationship between pregnancy and melanoma, which is not currently understood. The goal of this case report is to contribute to the current literature, which is divided on whether there is a relationship between melanoma and pregnancy and whether a potential relationship is clinically relevant. METHODS: The hospital course of the patient was studied and written out in case report format. Patient consent was obtained to present her hospital course at conferences. RESULTS: Excisional biopsy of subcutaneous flank nodule was done, which confirmed diagnosis of stage 4 melanoma. The patient was started on chemotherapy, and treatment is ongoing. CONCLUSION: The case of a 25-year-old pregnant patient who was found to have stage 4 melanoma with metastasis has an important role in the ongoing investigation of the potential relationship between pregnancy and melanoma. This case is noteworthy because of the young age of the patient, the aggressive spread of the disease, and the ethical questions raised when treating cancer in a pregnant patient.