Abstract
Primary malignant melanoma of the esophagus (PMME) is a rare disease. Most patients are diagnosed at an advanced stage and few at an early stage. We report a patient with multiple early-stage PMME (tumor invasion was limited to the mucosa, and no lymph node metastasis was detected). Despite initial endoscopic treatment followed by systemic chemotherapy, frequent multiple metachronous lesions occurred. These lesions were all flat type, and disease control of the primary site was achieved only by repeated endoscopic treatment. Liver metastasis developed 7 years after the first diagnosis of this disease; however, the patient has been doing well with stable disease for 1 year after single transarterial chemoembolization.
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Volpin E, Sauvanet A, Couvelard A, Belghiti J. Primary malignant melanoma of the esophagus: a case report and review of the literature. Dis Esophagus 2002;15:244–249.
Suzuki H, Nakanishi Y, Taniguchi H, Shimoda T, Yamaguchi H, Igaki H, et al. Two cases of early-stage esophageal malignant melanoma with long-term survival. Pathol Int 2008;58:432–435.
Kimura H, Kato H, Sohda M, Nakajima M, Fukai Y, Miyazaki T, et al. Flat-type primary malignant melanoma of the esophagus treated by EMR: case report, Gastrointestinal Endosc 2005;61:787–789.
Hara S, Noguchi M, Sugiyama K, Yamaguchi M, Unakami M, Imatani A, et al. A case of primary malignant melanoma of the esophagus in situ (in Japanese with English abstract). Gastroenterol Endosc 2003;45:935–939.
Mikami T, Fukuda S, Shimoyama T, Yamagata R, Nishiya D, Sasaki Y, et al. A case of early-stage primary malignant melanoma of the esophagus. Gastrointest Endosc 2001;53:365–367.
Kido T, Morishima H, Nakahara M, Nakao K, Tanimura H, Nishimura R, et al. Early stage primary malignant melanoma of the esophagus. Gastrointest Endosc 2000;51:90–91.
Allen AC, Spitz S. Malignant melanoma: a clinic-pathological analysis of the criteria for diagnosis and prognosis. Cancer (Phila) 1963;16:48–50.
Fenoglio-Preiser CM, Noffsinger AE, Stemmermann GN, Lantz PE, Isaacson PG. Gastrointestinal pathology. an atlas and text. 3rd edn. Philadelphia: Lippincott Williams & Wilkins; 2008. p. 125–126.
Adili F, Moning SP. Surgical therapy of primary malignant melanoma of the esophagus. Ann Thorac Surg 1997;63:1461–1463.
Kato H, Watanabe H, Tachimori Y, Watanabe H, Iizuka T, Yamaguchi H, et al. Primary malignant melanoma of the esophagus: report of four cases. Jpn J Clin Oncol 1991;21:306–313.
Chalkiadakis G, Wihlm JM, Morand G, Weill-Bousson M, Witz JP. Primary malignant melanoma of the esophagus. Ann Thorac Surg 1985;39:472–475.
Ludwig ME, Shaw R, de Suto-Nagy G. Primary malignant melanoma of the esophagus. Cancer (Phila) 1981;48:2528–2534.
Sabanathan S, Eng J, Pradhan GN. Primary malignant melanoma of the esophagus. Am J Gastroenterol 1989;12:1475–1481.
Simpson NS, Spence RA, Biggart JD, Cameron CH. Primary malignant melanoma of the oesophagus. J Clin Pathol 1990;43:82–84.
Joob AW, Haines GK III, Kies MS, Shields TW. Primary malignant melanoma of the esophagus. Ann Thorac Surg 1995;60:217–222.
Cohen J, editor. Advanced digestive endoscopy: comprehensive atlas of high resolution endoscopy and narrow band imaging. 1st edn. Massachusetts: Blackwell; 2007. p. 49–66.
Hirose T, Yoshida M, Katoh H, Momma K, Funada N, Koike M, et al. Malignant melanoma of the esophagus, report of a case. Stomach Intest (Tokyo) (in Japanese with English abstract) 2002;37:1361–1365.
Ho KY, Cheng J, Wee A, Soo KC. Primary malignant melanoma of the esophagus with multiple esophageal lesions. Nat Clin Pract Gastroenterol Hepatol 2007;4:171–174.
Herman J, Duda M, Lovecek M, Svach I, Primary malignant melanoma of the esophagus treated by endoscopic ablation and interferon therapy. Dis Esophagus 2001;14:239–240.
Xinopoulos D, Archavlis EM, Kontou M, Tsamakidis K, Dimitroulopoulos D, Soutos D, et al. Primary melanoma of the oesophagus treated endoscopically. A case report. Dig Liver Dis 2001;33:254–257.
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Morita, S., Miyamoto, S., Matsumoto, S. et al. Multiple early-stage malignant melanoma of the esophagus with long follow-up period after endoscopic treatment: report of a case. Esophagus 6, 249–252 (2009). https://doi.org/10.1007/s10388-009-0204-1
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DOI: https://doi.org/10.1007/s10388-009-0204-1