Primary malignant melanoma of the lower respiratory tract : report of a case and literature review

The authors report a case of primary bronchial malignant melanoma, occurring in a 34-year-old woman presenting with persistent cough. At bronchoscopic examination, a polypoid mass was found to occlude the left mainstem bronchus. Biopsies showed a malignant epithelioid tumor resembling an atypical ca...

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Veröffentlicht in:American journal of clinical pathology 1990-11, Vol.94 (5), p.649-655
Hauptverfasser: JENNINGS, T. A, AXIOTIS, C. A, KRESS, Y, CARTER, D
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container_end_page 655
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container_title American journal of clinical pathology
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creator JENNINGS, T. A
AXIOTIS, C. A
KRESS, Y
CARTER, D
description The authors report a case of primary bronchial malignant melanoma, occurring in a 34-year-old woman presenting with persistent cough. At bronchoscopic examination, a polypoid mass was found to occlude the left mainstem bronchus. Biopsies showed a malignant epithelioid tumor resembling an atypical carcinoid. Histochemistry, electron microscopic study, and immunohistochemistry confirmed the diagnosis of melanoma. Physical examination and additional clinical history to exclude other possible primary sites were negative. The patient underwent thoracotomy with left pneumonectomy. Nineteen months after resection she was found to have a histologically similar tumor involving her left adrenal gland. Review of the literature shows that melanoma of the lower respiratory tract has been reported only in adults and has a tendency to present as a central polypoid growth that may be responsive to surgical resection.
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ispartof American journal of clinical pathology, 1990-11, Vol.94 (5), p.649-655
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source Oxford University Press Journals Digital Archive legacy; MEDLINE
subjects Adult
Biological and medical sciences
Carcinoid Tumor - diagnosis
Carcinoid Tumor - metabolism
Carcinoid Tumor - pathology
Carcinoid Tumor - ultrastructure
Diagnosis, Differential
Female
Humans
Immunohistochemistry
Medical sciences
Melanoma - diagnosis
Melanoma - metabolism
Melanoma - pathology
Melanoma - ultrastructure
Microscopy, Electron
Pneumology
Respiratory Tract Neoplasms - diagnosis
Respiratory Tract Neoplasms - metabolism
Respiratory Tract Neoplasms - pathology
Respiratory Tract Neoplasms - ultrastructure
title Primary malignant melanoma of the lower respiratory tract : report of a case and literature review
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