Simultaneous resection of metastatic melanoma in the esophagus and primary cutaneous melanoma showing partial regression: report of a case

• Published in: Surgery today (Tokyo, Japan) Japan), 2012-09, Vol.42 (9), p.884-890
• Main Authors: Kumagai, Youichi, Miura, Keiko, Nishida, Tohru, Igari, Kimihiro, Ochiai, Takanori, Iida, Michio, Yamazaki, Shigeru, Odajima, Hajime, Kawano, Tatsuyuki, Takubo, Kaiyo
• Format: Article
• Language: English
• Subjects: Adult; Case Report; Esophageal Neoplasms - diagnosis; Esophageal Neoplasms - secondary; Esophageal Neoplasms - surgery; Female; Humans; Medicine; Medicine & Public Health; Melanoma - diagnosis; Melanoma - secondary; Melanoma - surgery; Neoplasm Regression, Spontaneous; Skin Neoplasms - diagnosis; Skin Neoplasms - pathology; Skin Neoplasms - surgery; Surgery; Surgical Oncology
• ISSN: 0941-1291; 1436-2813
• DOI: 10.1007/s00595-011-0101-9

We herein describe a case of melanoma that metastasized to the esophagus from a primary melanoma of the abdominal skin in a 40-year-old female. Esophagography and endoscopy demonstrated a 30-mm protruding mass in the proximal third of the esophagus, and this was diagnosed as malignant melanoma by mucosal biopsy. The patient also had a pigmented lesion on her abdominal skin, which was diagnosed immunohistochemically as a primary malignant melanoma from the resected specimen. The esophageal tumor was resected by transthoracic esophagectomy. Histopathologically, the radial growth phase of the tumor cells was not present in the esophageal lesion, which was diagnosed as melanoma metastatic to the esophagus. Postoperatively, the patient received 5 courses of DAV-Feron chemotherapy. Eight months after the chemotherapy, multiple metastases developed, including to the subcutis, bronchus, liver, adrenal gland and mediastinum. Chemotherapy was not effective at this stage. The patient died of multiple organ failure 21 months after initial esophagectomy.