{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T11:45:33Z","timestamp":1778240733219,"version":"3.51.4"},"reference-count":3,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,2,8]]},"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Isolated metastatic melanoma to the pancreas is a rare occurrence, representing less than 1\u2009per cent of metastatic melanoma. This case describes the clinical presentation and course of illness of a patient who was diagnosed with a solitary metastasis to the pancreas 11 months after a clear margin resection of a pT1b, stage IB melanoma. Her melanoma metastasis was diagnosed on Endoscopic Ultrasound-Fine Needle Biopsy (EUS-FNB). This patient was found to have a concurrent myeloproliferative neoplasm (MPN) at the time of diagnosis. This case importantly highlights the course of a rare finding in isolated metastatic melanoma to the pancreas that may have been accelerated by the patient\u2019s immunocompromised state with concurrent MPN. A high index of suspicion must be raised in patients with abdominal symptoms and melanoma history as the therapeutic window for these patients is quite narrow.<\/jats:p>","DOI":"10.1136\/bcr-2021-246722","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T12:32:28Z","timestamp":1646137948000},"page":"e246722","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Isolated metastatic melanoma to the pancreas in the context of myeloproliferative neoplasm: a rare occurrence"],"prefix":"10.1136","volume":"15","author":[{"given":"Jasper","family":"Johar","sequence":"first","affiliation":[{"name":"Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Stueck","sequence":"additional","affiliation":[{"name":"Department of Pathology, Dalhousie University, Halifax, Nova Scotia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhinaya","family":"Yeddala","sequence":"additional","affiliation":[{"name":"Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6410-8278","authenticated-orcid":false,"given":"Ali","family":"Kohansal","sequence":"additional","affiliation":[{"name":"Division of Digestive Care and Endoscopy, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,3,1]]},"reference":[{"key":"2025082804252615000_15.3.e246722.1","doi-asserted-by":"crossref","first-page":"145","DOI":"10.4103\/2303-9027.156746","article-title":"Multiple pancreatic metastases from malignant melanoma: conclusive diagnosis with endoscopic ultrasound-guided fine needle aspiration","volume":"4","author":"Jana","year":"2015","journal-title":"Endosc Ultrasound"},{"key":"2025082804252615000_15.3.e246722.2","doi-asserted-by":"publisher","DOI":"10.1007\/s10434-001-0658-4"},{"key":"2025082804252615000_15.3.e246722.3","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1111\/ejh.12410","article-title":"Increased incidence of another cancer in myeloproliferative neoplasms patients at the time of diagnosis","volume":"94","author":"Pettersson","year":"2015","journal-title":"Eur J Haematol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-246722","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:26:05Z","timestamp":1756380365000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-246722"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":3,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,3,1]]},"published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1136\/bcr-2021-246722"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-246722","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}