Aggressive primary pediatric intracranial malignant melanoma: Sphinx of the tissue diagnosis

It is often intriguing to suspect and confirm the diagnosis of primary malignant melanoma (PMM) in the brain without any evidence of neurocutaneous melanosis. We report a 16-year-old male patient with malignant melanoma which intraoperatively was small sized, soft, fleshy, hemorrhagic in appearance...

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Bibliographic Details
Published in:Asian journal of neurosurgery 2019-01, Vol.14 (1), p.275-279
Main Authors: Sivaraju, Laxminadh, Ghosal, Nandita, Mahadevan, Anita, Uday Krishna, A, Rao, Shilpa, Hegde, Alangar
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Case studies
CAT scans
Craniotomy
Diagnosis
Hematoma
Histochemistry
Ipilimumab
Melanosis
Meningioma
Pediatric tumors
Pediatrics
Vemurafenib
Vincristine
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Summary:It is often intriguing to suspect and confirm the diagnosis of primary malignant melanoma (PMM) in the brain without any evidence of neurocutaneous melanosis. We report a 16-year-old male patient with malignant melanoma which intraoperatively was small sized, soft, fleshy, hemorrhagic in appearance resembling hematoma. Interestingly, the histopathology showed prominent papillary architecture with a differential diagnosis of papillary meningioma and ependymoma and perplexed the tissue diagnosis. This case is discussed in light of very uncommon occurrence of intracranial PMM in pediatric age group, enigmatic histological features, and aggressive nature of lesion with rapid progression despite complete excision following radiation therapy.
ISSN:1793-5482
2248-9614
DOI:10.4103/ajns.AJNS_253_17