Metastatic malignant melanoma to the pancreas accounts for 5% of all patients undergoing a pancreatic metastasectomy. Here, we report a 76-year-old man with simultaneous metastases of malignant melanoma to the left elbow and pancreatic tail 4 years after resection of the primary tumor, which was located on the left fourth finger. Following resection of a subcutaneous mass in the left elbow, he underwent a laparoscopic spleen-preserving distal pancreatectomy with lymph node dissection along the splenic artery. His post-operative course was uneventful, and he was discharged from the hospital on the 13th postoperative day. He has survived for 7 months without exhibiting any signs of recurrence.
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