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Acta Cytologica Endoscopic Ultrasonography–Guided Fine Needle Aspiration Biopsy for Staging Malignant Melanoma of the Esophagus A Case Report Susanne Holck, M.D., Mette Siemsen, M.D., Dennis Bo Jensen, M.D., and Anne Mellon Mogensen, M.D. BACKGROUND: Malignant melanoma (MM) rarely Keywords: malignant melanoma, esophageal can- involves the esophagus. The outlook is dismal unless le- cer, endoscopic ultrasonography, aspiration biop- sional tissue is limited to the sy. esophageal wall. Hence, stag- ing prior to extensive surgi- Malignant melanoma EUS-guided fine needle biopsy is a cal intervention is desirable. (MM) rarely involves the simple method of obtaining CASE: A 54-year-old male esophagus. Secondary presented with fatigue and spread, which is common substantial morphologic information. melena. A diagnosis of MM in other portions of the 5,6 primary in the esophagus gastrointestinal tract, is was rendered on a biopsy of unusual in the esophagus, 9,22 an esophageal polyp. The stage, determined by endoscop- especially as the only clinical manifestation. MM ic ultrasonography–guided fine needle aspiration biopsy, arising in loco is likewise rare, accounting for about 8,27,30 was advanced. On the basis of this information, it was de- 0.1% of all primary esophageal malignancies. cided to spare the patient mutilating surgery. About 100 such cases have
Acta Cytologica – Karger
Published: Jan 1, 2011
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