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Ann Thorac Surg 1985;39:472-475
© 1985 The Society of Thoracic Surgeons

Articles

Primary Malignant Melanoma of the Esophagus

G. Chalkiadakis, M.D., J.M. Wihlm, M.D.*, G. Morand, M.D., M. Weill-Bousson, M.D., J.P. Witz, M.D.

From the Service de Chirurgie Thoracique and the Institut d'Anatomie Pathologique, Strasbourg, France

Accepted for publication June 13, 1984.

* Address reprint requests to Dr. Wihlm, Service de Chirurgie Thoracique, CHU F 67091 Strasbourg, France

Primary malignant melanoma of the esophagus is rare, and its symptoms are similar to those of squamous cell carcinoma. This tumor tends to be polypoid, pediculated, and irregular. Hematogenic and lymphogenic metastases are common. Surgical resection with reestablished continuity of the gastrointestinal tract is the treatment of choice, and postoperative irradiation may be useful. Despite these measures, however, the prognosis is poor, with a 5-year survival of 4.2%. The case of a 47-year-old man with esophageal melanoma is described, and a review of the world literature is presented.




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