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Open Access Case report

Solitary pulmonary metastasis from primary melanoma of the oesophagus 5 years after resection of the primary tumor

Gianlorenzo Dionigi1*, Francesca Rovera1, Luigi Boni1, Andrea Imperatori2 and Renzo Dionigi1

Author Affiliations

1 Department of Surgical Sciences, University of Insubria, Varese, Italy

2 Center for Thoracic Surgery, University of Insubria, Varese, Italy

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World Journal of Surgical Oncology 2006, 4:22  doi:10.1186/1477-7819-4-22

Published: 13 April 2006

Abstract

Background

Primary malignant melanoma of the oesophagus (PMME) is an uncommon tumor. PMME has an aggressive biological behavior, similar to melanomas developed elsewhere in the body. Most patients die from distant metastases, and the overall 5 year survival rate is approximately 4%.

Case presentation

We report a rare case of a solitary pulmonary metastasis found 5 years after curative resection of primary esophageal melanoma. No other sites of metastatic disease were identified. Video-assisted lung wedge resection of the lung nodule was carried out successfully.

Conclusion

This supports the concept that patients with primary melanoma of the oesophagus treated should be carefully followed up.