Introduction: We describe an original case of progressive severe dysphagia caused by a posterior mediastinal metastatic melanoma of unknown origin. To the best of our knowledge, such an event has never been described before in the literature. Case presentation: A progressive severe dysphagia case is reported induced by a melanoma of unknown origin (metastatic to a posterior mediastinal lymph node). At the time of diagnosis, the lesion appeared as a large posterior mediastinal mass mimicking a neurogenic tumour with oesophageal involvement. After complete resection, pathological assessment of the tumour by immunohistochemistry was consistent with nodal metastatic melanoma. Conclusion: This report of a posterior mediastinal lymph node melanoma is unique. The nodal origin is definitely unusual: a primary melanoma should always be carefully ruled out. In fact no other evidence, a part from the absence of the tumour elsewhere, can support the diagnosis of a primary nodal melanoma. © 2008 Meacci et al; licensee BioMed Central Ltd.
CITATION STYLE
Meacci, E., Mulè, A., Cesario, A., Maggiore, C., & Margaritora, S. (2008). Posterior mediastinal melanoma causing severe dysphagia: A case report. Journal of Medical Case Reports, 2. https://doi.org/10.1186/1752-1947-2-316
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