Metastatic melanoma to the gallbladder presented as a polyp with acute cholecystitis: A case report from Syria

• Published in: Annals of medicine and surgery 2022-04, Vol.76, p.103514, Article 103514
• Main Authors: Hussein Al-janabi, Moatasem, Mohammad, Jollanar Ghanem, Mohsen, Aya Yaser, Saad, Ahmad, Issa, Rana
• Format: Article
• Language: English
• Subjects: Case Report; Gallbladder metastases; Malignant melanoma; Polyp
• ISSN: 2049-0801; 2049-0801
• DOI: 10.1016/j.amsu.2022.103514

Malignant melanoma is one of the most aggressive unpredictable tumors that can metastasize to any organ. Metastases from cutaneous melanoma to the gallbladder are exceedingly rare. Most patients with gallbladder metastases from malignant melanoma are usually asymptomatic; therefore, its diagnosis can be a real challenge. We report a case of a 71-year-old woman with a past history of cutaneous melanoma, who clinically presented with signs and symptoms of acute cholecystitis. Ultrasound investigation of the gallbladder revealed intraluminal polyp. Gross inspection of the excised gallbladder showed a polypoid lesion in the fundus. Microscopically, the H&E-stained sections revealed nests of malignant cells, occasionally with pigmented cytoplasm. The diagnosis of metastatic melanoma was reported, and supported by the results of the immunohistochemical stains. Malignant melanoma is a very aggressive type of skin cancer. It arises from the melanocytes in the epidermis, uvea, meninges, and intestinal tract. Worldwide, only 40 cases of metastatic melanoma to the gallbladder were documented. Moreover, reviewing the English-language literature showed that primary melanoma is an extraordinary event and was described in about 28 cases. Clinically, metastases from cutaneous melanoma to the gallbladder are usually asymptomatic. We report a metastatic malignant melanoma to the gallbladder presented as a polypoid lesion and clinically manifested as acute cholecystitis. •Melanoma is the most serious type of skin cancer. The gallbladder is an extremely rare location for metastatic melanoma.•We report a case of a 71-years old woman with metastatic melanoma to the gallbladder presented as acute cholecystitis.•Melanoma is a very aggressive tumor. Clinically, metastases from melanoma to the gallbladder are usually asymptomatic.