Loading…

Primary Hepatic Melanoma: A Diagnostic Surprise

Melanoma is a relatively rare malignancy with a highly aggressive biological behavior. Metastases to other sites, like lymph nodes and liver are common, but primary hepatic melanoma is a rarity with poor survival ranging from months to few years. Diagnosis of primary hepatic melanoma via clinical fe...

Full description

Saved in:
Bibliographic Details
Published in:International journal of surgical pathology 2024-04, p.10668969241236858-10668969241236858
Main Authors: Krishan, Ram, Pandey, Sachita, Sakhuja, Puja, Goyal, Surbhi, Bhardwaj, Krishna, Vageesh, B G, Agarwal, Anil K
Format: Article
Language:English
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c253t-8232d46ace75cb903fc5983bbc5a1762591c4bb262f327184bd2a0e62eb105eb3
container_end_page 10668969241236858
container_issue
container_start_page 10668969241236858
container_title International journal of surgical pathology
container_volume
creator Krishan, Ram
Pandey, Sachita
Sakhuja, Puja
Goyal, Surbhi
Bhardwaj, Krishna
Vageesh, B G
Agarwal, Anil K
description Melanoma is a relatively rare malignancy with a highly aggressive biological behavior. Metastases to other sites, like lymph nodes and liver are common, but primary hepatic melanoma is a rarity with poor survival ranging from months to few years. Diagnosis of primary hepatic melanoma via clinical features and imaging technology is difficult because of its ambiguous features. Here, we present a 26-year-old North Indian woman admitted in the department of gastrointestinal surgery at our tertiary care hospital with the complaint of pain in the abdomen for a month associated with the loss of appetite and subsequent weight loss. The liver function tests were within normal limits and viral markers were negative. The triple-phase computed tomography scan of abdomen showed significant hepatomegaly and two well-defined lesions in both lobes of the liver. Histopathological evaluation was performed on the core liver biopsies submitted from the liver lesions. A malignant tumor with abundant black intracytoplasmic pigment was identified. Immunohistochemistry proved the tumor to be melanoma. The detailed clinical history, laboratory, and radiological investigations were acquired and analyzed to rule out a metastatic lesion of the same. A final diagnosis of primary hepatic melanoma was thus rendered. Primary hepatic melanoma is extremely uncommon and has been rarely reported. Preoperative diagnosis is challenging due to low index of suspicion and nonspecific clinical features. In this case report, we discuss the clinicopathological features of primary hepatic melanoma and review the literature so as to increase the awareness and improve our understanding of the disease.
doi_str_mv 10.1177/10668969241236858
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3031659967</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3031659967</sourcerecordid><originalsourceid>FETCH-LOGICAL-c253t-8232d46ace75cb903fc5983bbc5a1762591c4bb262f327184bd2a0e62eb105eb3</originalsourceid><addsrcrecordid>eNplUMtOwzAQtBCIlsIHcEE5cgnd9dvcqhYoUhFIwDmyXQcFNU2wmwN_T6oULpx2tTszmhlCLhFuEJWaIkipjTSUI2VSC31Exmg45JRLcdzv_T_fA0bkLKVPAKCS4ikZMS2k4gBjMn2JVW3jd7YMrd1VPnsKG7ttanubzbJFZT-2TdqfX7vYxiqFc3JS2k0KF4c5Ie_3d2_zZb56fnicz1a5p4Ltck0ZXXNpfVDCOwOs9MJo5pwXFpWkwqDnzvV2SkYVau7W1EKQNDgEERybkOtBt43NVxfSrqir5MOmNxeaLhUMGEphjFQ9FAeoj01KMZRFO2QqEIp9T8W_nnrO1UG-c3VY_zF-i2E_cIBgqA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3031659967</pqid></control><display><type>article</type><title>Primary Hepatic Melanoma: A Diagnostic Surprise</title><source>Sage Journals Online</source><creator>Krishan, Ram ; Pandey, Sachita ; Sakhuja, Puja ; Goyal, Surbhi ; Bhardwaj, Krishna ; Vageesh, B G ; Agarwal, Anil K</creator><creatorcontrib>Krishan, Ram ; Pandey, Sachita ; Sakhuja, Puja ; Goyal, Surbhi ; Bhardwaj, Krishna ; Vageesh, B G ; Agarwal, Anil K</creatorcontrib><description>Melanoma is a relatively rare malignancy with a highly aggressive biological behavior. Metastases to other sites, like lymph nodes and liver are common, but primary hepatic melanoma is a rarity with poor survival ranging from months to few years. Diagnosis of primary hepatic melanoma via clinical features and imaging technology is difficult because of its ambiguous features. Here, we present a 26-year-old North Indian woman admitted in the department of gastrointestinal surgery at our tertiary care hospital with the complaint of pain in the abdomen for a month associated with the loss of appetite and subsequent weight loss. The liver function tests were within normal limits and viral markers were negative. The triple-phase computed tomography scan of abdomen showed significant hepatomegaly and two well-defined lesions in both lobes of the liver. Histopathological evaluation was performed on the core liver biopsies submitted from the liver lesions. A malignant tumor with abundant black intracytoplasmic pigment was identified. Immunohistochemistry proved the tumor to be melanoma. The detailed clinical history, laboratory, and radiological investigations were acquired and analyzed to rule out a metastatic lesion of the same. A final diagnosis of primary hepatic melanoma was thus rendered. Primary hepatic melanoma is extremely uncommon and has been rarely reported. Preoperative diagnosis is challenging due to low index of suspicion and nonspecific clinical features. In this case report, we discuss the clinicopathological features of primary hepatic melanoma and review the literature so as to increase the awareness and improve our understanding of the disease.</description><identifier>ISSN: 1066-8969</identifier><identifier>EISSN: 1940-2465</identifier><identifier>DOI: 10.1177/10668969241236858</identifier><identifier>PMID: 38567400</identifier><language>eng</language><publisher>United States</publisher><ispartof>International journal of surgical pathology, 2024-04, p.10668969241236858-10668969241236858</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c253t-8232d46ace75cb903fc5983bbc5a1762591c4bb262f327184bd2a0e62eb105eb3</cites><orcidid>0000-0002-0554-9540 ; 0000-0001-7286-5941</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38567400$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krishan, Ram</creatorcontrib><creatorcontrib>Pandey, Sachita</creatorcontrib><creatorcontrib>Sakhuja, Puja</creatorcontrib><creatorcontrib>Goyal, Surbhi</creatorcontrib><creatorcontrib>Bhardwaj, Krishna</creatorcontrib><creatorcontrib>Vageesh, B G</creatorcontrib><creatorcontrib>Agarwal, Anil K</creatorcontrib><title>Primary Hepatic Melanoma: A Diagnostic Surprise</title><title>International journal of surgical pathology</title><addtitle>Int J Surg Pathol</addtitle><description>Melanoma is a relatively rare malignancy with a highly aggressive biological behavior. Metastases to other sites, like lymph nodes and liver are common, but primary hepatic melanoma is a rarity with poor survival ranging from months to few years. Diagnosis of primary hepatic melanoma via clinical features and imaging technology is difficult because of its ambiguous features. Here, we present a 26-year-old North Indian woman admitted in the department of gastrointestinal surgery at our tertiary care hospital with the complaint of pain in the abdomen for a month associated with the loss of appetite and subsequent weight loss. The liver function tests were within normal limits and viral markers were negative. The triple-phase computed tomography scan of abdomen showed significant hepatomegaly and two well-defined lesions in both lobes of the liver. Histopathological evaluation was performed on the core liver biopsies submitted from the liver lesions. A malignant tumor with abundant black intracytoplasmic pigment was identified. Immunohistochemistry proved the tumor to be melanoma. The detailed clinical history, laboratory, and radiological investigations were acquired and analyzed to rule out a metastatic lesion of the same. A final diagnosis of primary hepatic melanoma was thus rendered. Primary hepatic melanoma is extremely uncommon and has been rarely reported. Preoperative diagnosis is challenging due to low index of suspicion and nonspecific clinical features. In this case report, we discuss the clinicopathological features of primary hepatic melanoma and review the literature so as to increase the awareness and improve our understanding of the disease.</description><issn>1066-8969</issn><issn>1940-2465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNplUMtOwzAQtBCIlsIHcEE5cgnd9dvcqhYoUhFIwDmyXQcFNU2wmwN_T6oULpx2tTszmhlCLhFuEJWaIkipjTSUI2VSC31Exmg45JRLcdzv_T_fA0bkLKVPAKCS4ikZMS2k4gBjMn2JVW3jd7YMrd1VPnsKG7ttanubzbJFZT-2TdqfX7vYxiqFc3JS2k0KF4c5Ie_3d2_zZb56fnicz1a5p4Ltck0ZXXNpfVDCOwOs9MJo5pwXFpWkwqDnzvV2SkYVau7W1EKQNDgEERybkOtBt43NVxfSrqir5MOmNxeaLhUMGEphjFQ9FAeoj01KMZRFO2QqEIp9T8W_nnrO1UG-c3VY_zF-i2E_cIBgqA</recordid><startdate>20240403</startdate><enddate>20240403</enddate><creator>Krishan, Ram</creator><creator>Pandey, Sachita</creator><creator>Sakhuja, Puja</creator><creator>Goyal, Surbhi</creator><creator>Bhardwaj, Krishna</creator><creator>Vageesh, B G</creator><creator>Agarwal, Anil K</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0554-9540</orcidid><orcidid>https://orcid.org/0000-0001-7286-5941</orcidid></search><sort><creationdate>20240403</creationdate><title>Primary Hepatic Melanoma: A Diagnostic Surprise</title><author>Krishan, Ram ; Pandey, Sachita ; Sakhuja, Puja ; Goyal, Surbhi ; Bhardwaj, Krishna ; Vageesh, B G ; Agarwal, Anil K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c253t-8232d46ace75cb903fc5983bbc5a1762591c4bb262f327184bd2a0e62eb105eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krishan, Ram</creatorcontrib><creatorcontrib>Pandey, Sachita</creatorcontrib><creatorcontrib>Sakhuja, Puja</creatorcontrib><creatorcontrib>Goyal, Surbhi</creatorcontrib><creatorcontrib>Bhardwaj, Krishna</creatorcontrib><creatorcontrib>Vageesh, B G</creatorcontrib><creatorcontrib>Agarwal, Anil K</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of surgical pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krishan, Ram</au><au>Pandey, Sachita</au><au>Sakhuja, Puja</au><au>Goyal, Surbhi</au><au>Bhardwaj, Krishna</au><au>Vageesh, B G</au><au>Agarwal, Anil K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary Hepatic Melanoma: A Diagnostic Surprise</atitle><jtitle>International journal of surgical pathology</jtitle><addtitle>Int J Surg Pathol</addtitle><date>2024-04-03</date><risdate>2024</risdate><spage>10668969241236858</spage><epage>10668969241236858</epage><pages>10668969241236858-10668969241236858</pages><issn>1066-8969</issn><eissn>1940-2465</eissn><abstract>Melanoma is a relatively rare malignancy with a highly aggressive biological behavior. Metastases to other sites, like lymph nodes and liver are common, but primary hepatic melanoma is a rarity with poor survival ranging from months to few years. Diagnosis of primary hepatic melanoma via clinical features and imaging technology is difficult because of its ambiguous features. Here, we present a 26-year-old North Indian woman admitted in the department of gastrointestinal surgery at our tertiary care hospital with the complaint of pain in the abdomen for a month associated with the loss of appetite and subsequent weight loss. The liver function tests were within normal limits and viral markers were negative. The triple-phase computed tomography scan of abdomen showed significant hepatomegaly and two well-defined lesions in both lobes of the liver. Histopathological evaluation was performed on the core liver biopsies submitted from the liver lesions. A malignant tumor with abundant black intracytoplasmic pigment was identified. Immunohistochemistry proved the tumor to be melanoma. The detailed clinical history, laboratory, and radiological investigations were acquired and analyzed to rule out a metastatic lesion of the same. A final diagnosis of primary hepatic melanoma was thus rendered. Primary hepatic melanoma is extremely uncommon and has been rarely reported. Preoperative diagnosis is challenging due to low index of suspicion and nonspecific clinical features. In this case report, we discuss the clinicopathological features of primary hepatic melanoma and review the literature so as to increase the awareness and improve our understanding of the disease.</abstract><cop>United States</cop><pmid>38567400</pmid><doi>10.1177/10668969241236858</doi><orcidid>https://orcid.org/0000-0002-0554-9540</orcidid><orcidid>https://orcid.org/0000-0001-7286-5941</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1066-8969
ispartof International journal of surgical pathology, 2024-04, p.10668969241236858-10668969241236858
issn 1066-8969
1940-2465
language eng
recordid cdi_proquest_miscellaneous_3031659967
source Sage Journals Online
title Primary Hepatic Melanoma: A Diagnostic Surprise
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T08%3A47%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Primary%20Hepatic%20Melanoma:%20A%20Diagnostic%20Surprise&rft.jtitle=International%20journal%20of%20surgical%20pathology&rft.au=Krishan,%20Ram&rft.date=2024-04-03&rft.spage=10668969241236858&rft.epage=10668969241236858&rft.pages=10668969241236858-10668969241236858&rft.issn=1066-8969&rft.eissn=1940-2465&rft_id=info:doi/10.1177/10668969241236858&rft_dat=%3Cproquest_cross%3E3031659967%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c253t-8232d46ace75cb903fc5983bbc5a1762591c4bb262f327184bd2a0e62eb105eb3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3031659967&rft_id=info:pmid/38567400&rfr_iscdi=true