Figures
![Figure 1.](/tables/wjon970w-g001.jpg)
Figure 1. Spinal MRI. T1-weighed MR image showed metastatic lesions spread widely in the vertebral bodies.
![Figure 2.](/tables/wjon970w-g002.jpg)
Figure 2. Chest CT. A well-defined right lung tumor of 25 mm in diameter.
![Figure 3.](/tables/wjon970w-g003.jpg)
Figure 3. Abdominal CT. Diffuse hypo-density area in the swelled liver with ascites.
![Figure 4.](/tables/wjon970w-g004.jpg)
Figure 4. Macroscopic view of liver cut surface. Blackish swelled liver showed diffuse metastatic melanocyte invasion (arrows).
![Figure 5.](/tables/wjon970w-g005.jpg)
Figure 5. Macroscopic view of lung lesion. Well-defined metastasis (white arrows) was accompanied with multiple metastases (black arrows).
![Figure 6.](/tables/wjon970w-g006.jpg)
Figure 6. Macroscopic view of lumber spine. Metastatic lesions were spread in the vertebrae (arrows).
![Figure 7.](/tables/wjon970w-g007.jpg)
Figure 7. Microscopic view of liver cut surface. Centrilobular necrosis without bleeding (white arrow) and perilobular necrosis with hemorrhage were shown (black arrow). Diffuse invasion of atypical melanocytes was observed.
![Figure 8.](/tables/wjon970w-g008.jpg)
Figure 8. Microscopic view of lung lesion on autopsy. Lung metastasis with diffuse necrosis taken by autopsy was shown.
![Figure 9.](/tables/wjon970w-g009.jpg)
Figure 9. Microscopic view of lung lesion on biopsy. Lung metastasis without necrosis was shown.
Table
Table 1. Indexes of Tumor Lysis Syndrome During Clinical Course
| Time after admission (h) |
---|
0 | 36 | 58 |
---|
T.Bil (mg/dL) | 4.34 | 6.71 | 9.63 |
LDH (IU/L) | 8,756 | 20,223 | 52,700 |
UA (mg/dL) | 8.5 | 13.9 | 0.9 |
P (mg/dL) | 3.6 | 6.8 | 12.6 |
K (mEq/L) | 5.1 | 6.2 | 7.9 |
Ca (mg/dL) | 9.4 | 8.2 | 7.9 |