A patient with primary malignant melanoma of the esophagus who underwent esophagectomy

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  • Maeda Naoaki
    Department of Gastroenterological Surgery, Okayama University Hospital
  • Shirakawa Yasuhiro
    Department of Gastroenterological Surgery, Okayama University Hospital
  • Koujima Takeshi
    Department of Gastroenterological Surgery, Okayama University Hospital
  • Ohara Toshiaki
    Department of Gastroenterological Surgery, Okayama University Hospital
  • Tanabe Shunsuke
    Department of Gastroenterological Surgery, Okayama University Hospital
  • Noma Kazuhiro
    Department of Gastroenterological Surgery, Okayama University Hospital
  • Sakurama Kazuhumi
    Department of Gastroenterological Surgery, Okayama University Hospital
  • Fujiwara Toshiyosi
    Department of Gastroenterological Surgery, Okayama University Hospital

Bibliographic Information

Other Title
  • 食道原発悪性黒色腫の１切除例
  • 症例報告 食道原発悪性黒色腫の1切除例
  • ショウレイ ホウコク ショクドウ ゲンパツ アクセイ コクショク シュ ノ 1 セツジョレイ

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Abstract

We report the case of a 61-old-man with a primary malignant melanoma of the esophagus, an extremely rare and highly aggressive malignancy. He presented with dysphagia, and we performed an upper gastrointestinal endoscopy that detected a tumor in the thoracic part of the esophagus. The biopsy showed malignant melanoma. PET/CT, endoscopy and an esophagogram showed that a 70-mm scaled type 2+1 tumor in the thoracic esophagus and no metastases. We diagnosed a cT3cN0cM0 cStage II tumor. We then performed a subtotal esophagectomy with two-field lymph node dissection and esophagogastrostomy via a retrosternal route. The pathological examination of the resected specimens confirmed that the type 2+1 tumor was PMME (pT2N0M0 pStage II). We administered six courses of postoperative adjuvant chemotherapy with dacarbazine, and the patient has had no recurrence for 17 months after the surgery.

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