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CASE REPORT
A tenebrous tale: malignant melanoma of the oesophagus
  1. Jane O’Sullivan1,
  2. Justin Matthias Hintze1,2,
  3. Peter Molony3,
  4. Donal B O’Connor4,5,
  5. Kevin C Conlan4,5
  1. 1 Department of Surgery, Tallaght Hospital, Tallaght D24, Ireland
  2. 2 Center for Regenerative Medicine, Mayo Clinic Arizona, Scottsdale, Arizona, USA
  3. 3 Department of Pathology, Tallaght Hospital, Tallaght D24, Ireland
  4. 4 University of Dublin Trinity College, Dublin, Ireland
  5. 5 Professorial Surgical Unit, Tallaght Hospital, Tallaght D24, Ireland
  1. Correspondence to Dr Jane O’Sullivan, osullij5{at}tcd.ie

Summary

A 57-year-old man presented with a 4-month history of worsening symptoms of oesophageal obstruction. The physical examination was unremarkable. An oesophagogastroduodenoscopy revealed an exophytic tumour in the distal oesophagus. A biopsy demonstrated malignant melanoma. Staging of the melanoma showed disseminated lymph node and bony-spine metastases. He had no prior history of cutaneous or ocular melanoma. Following full multidisciplinary team input, he was palliated with a metal mesh stent and immunotherapy. He died 3 months later following community management.

  • Oesophageal cancer
  • Oncology
  • GI-stents

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Footnotes

  • Contributors JOS collected the clinical data and coperformed the literature review. JMH coperformed the literature review and formatted the images. PM stained the histological specimens and gave pathology input on the case. DBOC obtained the endoscopy images. DBOC and KC were responsible for writing and editing the final draft.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.