Dark sputum: An atypical presentation of primary pulmonary malignant melanoma

التفاصيل البيبلوغرافية
العنوان: Dark sputum: An atypical presentation of primary pulmonary malignant melanoma
المؤلفون: Fausto Zorzi, Claudio Bna, Alida Filippini, Tony Sabatini, Antonio Arnaboldi
المصدر: Respiratory Medicine Case Reports, Vol 15, Iss C, Pp 118-120 (2015)
Respiratory Medicine Case Reports
بيانات النشر: Elsevier, 2015.
سنة النشر: 2015
مصطلحات موضوعية: Pulmonary and Respiratory Medicine, lcsh:RC705-779, Pathology, medicine.medical_specialty, Lung, medicine.diagnostic_test, Malignant melanoma, business.industry, Melanoma, Case Report, lcsh:Diseases of the respiratory system, medicine.disease, respiratory tract diseases, Pneumonia, medicine.anatomical_structure, Biopsy, medicine, Sputum, Lung Melanoma, medicine.symptom, Lung cancer, Pulmonary Mass, business, Primary lung melanoma
الوصف: Primary melanoma of the lung is an extremely rare clinical entity. We found only 32 cases reported in literature, and in two of these multiple brain metastases were present. We describe a case of primary lung melanoma with brain and skin metastases that presented with an initial clinical diagnosis of pneumonia.A 55-year-old white man presented with cough productive of dark sputum and fever. A chest x-ray showed a right lung infiltration. After failure to respond to usual treatment for pneumonia, bronchoscopy examination and CT scan revealed a right pulmonary mass. The CT-guided biopsy confirmed a diagnosis of malignant melanoma. The primary lung origin of the tumor was demonstrated by the characteristic junctional pattern of melanoma cells. Further evaluation revealed metastases in the brain and in skin.Primary lung melanoma is an uncommon neoplasm that may be confused with more conventional types of lung cancer. Careful interpretation of histopathological information in correlation with all other clinical, laboratory and imaging studies may be needed to establish a diagnosis. Evaluation for metastases should include looking at the eyes, brain, skin. Due to the small number of cases reported in literature, there is no experience on the management and the prognosis of the disease.
اللغة: English
تدمد: 2213-0071
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2343a639dd704dd49fb2cc35a741a99c
http://www.sciencedirect.com/science/article/pii/S2213007115000349
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....2343a639dd704dd49fb2cc35a741a99c
قاعدة البيانات: OpenAIRE