Year 2023 / Volume 115 / Number 7
Letter
A rare endoscopic finding: primary esophageal melanoma

396-397

DOI: 10.17235/reed.2022.9244/2022

Laura Peño Muñoz, Carlos Boix Clemente, Lidia Martí Romero, Clara Navarro Peiró, María Dolores Pérez Zahonero, Gloria Alemany Pérez, Vanesa Martínez Escapa, Beatriz Moreno Torres,

Abstract
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.
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References
1- Granell-Villach L, Moya Sanz MA, Escrig Sos VJ, et al. Melanoma esofágico primario: descripción de un caso. Rev Esp Enferm Dig. 2016; 108(10): 666-669.
2- Revilla Morato C, Mora Soler A, Prieto Bermejo A, et al. Melanoma maligno primario esofágico: una causa infrecuente de disfagia. Gastroenterol Hepatol. 2016; 39(1): 47-48.
3- González Castillo S, Morales Ruiz J, Viñolo Ubiña C, et al. Melanoma maligno esofágico primario. Rev Esp Enferm Dig [Internet]. 2010; 102(6).
4- Gómez-Uranga A, Esteve-Atiénzar PJ, López-Jiménez A, et al. Primary Intestinal Melanoma? Rev Esp Enferm Dig. 2022 Jun 30. DOI: 10.17235/reed.2022.8944/2022.
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Peño Muñoz L, Boix Clemente C, Martí Romero L, Navarro Peiró C, Pérez Zahonero M, Alemany Pérez G, et all. A rare endoscopic finding: primary esophageal melanoma . 9244/2022


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Publication history

Received: 29/09/2022

Accepted: 05/10/2022

Online First: 10/11/2022

Published: 06/07/2023

Article Online First time: 42 days

Article editing time: 280 days


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