Case Report of a Primary Malignant Melanoma of the Esophagus: An Atypical Presentation of an Extremely Rare Disease

Gonze, A;Rahier, Jean-François;BORGNIET, Olivier;GILLAIN, Cédric;Druez, Anne;et.al.
(2023) Annals of Clinical Case Reports — Vol. 8, n° 1, p. 2405 (2023)

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Abstract
Primary Malignant Melanoma of the Esophagus (PMME) is an extremely rare disease with a dismal prognosis. Most of our current knowledge comes from single case reports and short case series. The purpose of this case report is to share our experience with a case of atypical presentation of this poorly known condition. We present a case of PMME in a 71-year-old patient displaying unique acute chest pain and a slight hindrance swallowing that had been evolving for six weeks. Endoscopy showed an achromic polypoid mass appended to the upper esophagus. The diagnosis of PMME was based on an immunohistochemical analysis of biopsies performed endoscopically after excluding the presence of esophageal metastasis from another primary melanoma. We assessed extension using endoscopic ultrasound and PET/CT and decided to surgically treat the patient without adjuvant or neoadjuvant therapy.
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Gonze, A., Rahier, J.-F., BORGNIET, O., GILLAIN, C., De Moor, V., Delos, M., & Druez, A. (2023). Case Report of a Primary Malignant Melanoma of the Esophagus: An Atypical Presentation of an Extremely Rare Disease. Annals of Clinical Case Reports, 8(1), 2405. https://doi.org/10.25107/2474-1655.2405 (Original work published 2023)