A rare endoscopic finding: primary esophageal melanoma

We report a case of a patient accidentally diagnosed with an esophageal lesion compatible (histologically and immunohistochemically) with epithelioid melanoma. The skin examination did not reveal any evidence of melanoma and the patient was diagnosed with primary malignant melanoma of the esophagus....

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Veröffentlicht in:Revista española de enfermedades digestivas 2023-07, Vol.115 (7), p.396
Hauptverfasser: Peño Muñoz, Laura, Boix Clemente, Carlos, Martí Romero, Lidia, Navarro Peiró, Clara, Pérez Zahonero, María Dolores, Alemany Pérez, Gloria, Martínez Escapa, Vanesa, Moreno Torres, Beatriz
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container_issue 7
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container_title Revista española de enfermedades digestivas
container_volume 115
creator Peño Muñoz, Laura
Boix Clemente, Carlos
Martí Romero, Lidia
Navarro Peiró, Clara
Pérez Zahonero, María Dolores
Alemany Pérez, Gloria
Martínez Escapa, Vanesa
Moreno Torres, Beatriz
description We report a case of a patient accidentally diagnosed with an esophageal lesion compatible (histologically and immunohistochemically) with epithelioid melanoma. The skin examination did not reveal any evidence of melanoma and the patient was diagnosed with primary malignant melanoma of the esophagus. It's a very rare tumour. The majority of melanocytic lesions of the gastrointestinal tract are presumably secondary to a cutaneous melanoma and in order to discard this, a thorough skin examination is needed. Diagnosis is based on endoscopic image, histological data and especially on immunohistochemical evaluation. Primary malignant melanoma has a very poor prognosis as it usually presents distant metastasis when diagnosed. Surgery (with or without associated immunotherapy) remains the base of treatment in absence of advanced disease.
doi_str_mv 10.17235/reed.2022.9244/2022
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subjects Esophageal Neoplasms - surgery
Humans
Melanoma - diagnostic imaging
Melanoma - surgery
Melanoma, Cutaneous Malignant
Skin Neoplasms - diagnostic imaging
title A rare endoscopic finding: primary esophageal melanoma
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