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KMID : 0359020060330040220
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Korean Journal of Gastrointestinal Endoscopy
2006 Volume.33 No. 4 p.220 ~ p.225
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A Case of Primary Malignant Melanoma of the Esophagus Treated by Esophagectomy
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Park Jin-Sun
Kim Jin-Hong
Choi Sang-Jo
Cha Choong-Keun
Shin Sung-Jae
Lee Kee-Myung
Hahm Ki-Baik
Lee Sung-Soo
Han Jae-Ho
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Abstract
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A primary malignant melanoma of the esophagus is a very rare disease representing approximately 0.1∼.02% of all esophageal neoplasms and 0.5% of all mucosal melanomas. Despite a surgical resection, a primary malignant melanoma of the esophagus has a poor prognosis, mainly due to the fast development of hematogenous and lymphatic metastases. However, a resection of the tumor appears to be the treatment of choice. Local excision does not prolong the survival of patients. After a radical excision, the mean survival time is 7∼12 months and the estimated 5 year survival is 4.2%. However, after a local excision, the average survival time is 9 months and there is no report of a patient who survived more than 1year. We encountered a 55-year-old woman with a primary malignant melanoma of the esophagus, who underwent a radical esophageal resection with a lymph node dissection. We report this case with a review of the relevant literature. (Korean J Gastrointest Endosc 2006;33:220?225)
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KEYWORD
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Malignant melanoma, Esophagus
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