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Ann Thorac Surg 1995;60:217-222
© 1995 The Society of Thoracic Surgeons
Departments of Surgery, Pathology, and Medicine, Northwestern University Medical School, Chicago, Illinois, USA
* Address reprint requests to Dr Joob, Department of Surgery, Northwestern University Medical School, 251 E Chicago Ave, Suite 1030, Chicago, IL 60611.
Primary malignant melanoma of the esophagus is a rare disease. A case is reported and the newer diagnostic techniques of immunohistologic identification of the tumor by positive reaction to the HMB-45 antigen, as well as immunoscintigraphy with Technetium-99m-labeled melanoma monoclonal antigen for the demonstration of distant metastasis, is presented. A current review of the literature on this uncommon tumor is presented, and treatment options are discussed. A total esophagectomy remains the treatment of choice. Four long-term (>5 years) survivors after adequate surgical removal have been recorded in the literature.
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