A case of primary malignant melanoma of the esophagus with a widely expanded surface area

التفاصيل البيبلوغرافية
العنوان: A case of primary malignant melanoma of the esophagus with a widely expanded surface area
المؤلفون: Noriyuki Shiroma, Toru Hiyama, Yuki Ninomiya, Kazuaki Chayama, Manabu Emi, Koki Nakamura, Shiro Oka, Yoichi Hamai, Takahiro Kotachi, Shinji Tanaka, Yuji Urabe, Masanori Ito, Tomoyuki Boda
المصدر: Clinical journal of gastroenterology. 12(5)
سنة النشر: 2018
مصطلحات موضوعية: Male, medicine.medical_specialty, Pathology, Esophageal Neoplasms, Biopsy, Lesion, 03 medical and health sciences, Basal (phylogenetics), Narrow Band Imaging, 0302 clinical medicine, Surgical oncology, Internal medicine, medicine, Humans, Endoscopy, Digestive System, Esophagus, Pathological, Melanoma, Aged, medicine.diagnostic_test, business.industry, Esophagogastroduodenoscopy, Gastroenterology, General Medicine, Hepatology, medicine.disease, medicine.anatomical_structure, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, medicine.symptom, business
الوصف: Primary malignant melanoma of the esophagus (PMME) is rare but aggressive. PMME accounts for approximately 0. 1% of all malignant esophageal neoplasms occurring worldwide, and is usually diagnosed during the advanced stage. A 67-year-old man underwent an esophagogastroduodenoscopy (EGD) at our hospital and confirmed 20 mm of black pigmentation in the lower esophagus in the chest area. Pathological biopsy findings of the black-pigmented epithelial tissue revealed the presence of tumor cells with brown granules, leading to the diagnosis of malignant melanoma. Owing to difficulty in accurately diagnosing the range in this PMME case, we performed thoracoscopic esophagectomy. Pathological organisation test results were pT1a-LPM, INFb, pN0, and pM0, which were diagnosed at pStage I. The lesion expanded extensively, measuring > 10 cm in diameter. The tumor cells, which were centrally located in the black-pigmented area, were observed to have proliferated beyond the surrounding brownish area into the mucosa, but no findings were found in the endoscopic examination. As in this case, because PMME may diffusely spread along the basal layer outside the range of pigmentation, endoscopic diagnosis of the extent of disease spread may be impossible; hence, it is important to keep this phenomenon in mind while performing resection to treat PMME.
تدمد: 1865-7265
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a33217cca3dd839a349dd98924a51dbc
https://pubmed.ncbi.nlm.nih.gov/30887427
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....a33217cca3dd839a349dd98924a51dbc
قاعدة البيانات: OpenAIRE