Korean J Gastrointest Endosc > Volume 33(4); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(4): 220-225.
식도절제 수술을 시행한 식도의 원발성 악성 흑색종 1예
박진선·최상조·차충근·신성재·이기명·함기백·김진홍·이성수*·한재호
아주대학교 의과대학 소화기내과학교실, *흉부외과학교실, 해부병리학교실
A Case of Primary Malignant Melanoma of the Esophagus Treated by Esophagectomy
Jin Sun Park, M.D., Sang Jo Choi, M.D., Choong Keun Cha, M.D., Sung Jae Shin, M.D., Ki Myung Lee, M.D., Ki-Baik Hahm, M.D., Ph.D., Jin Hong Kim, M.D., ungsoo Lee, M.D.* and Jae Ho Han, M.D.
Departments of Gastroenterology, *Thoracic and Cardiovascular Surgery and Pathology, Ajou University of College of Medicine, Suwon, Korea
Abstract
A primary malignant melanoma of the esophagus is a very rare disease representing approximately 0.1∼.02% of all esophageal neoplasms and 0.5% of all mucosal melanomas. Despite a surgical resection, a primary malignant melanoma of the esophagus has a poor prognosis, mainly due to the fast development of hematogenous and lymphatic metastases. However, a resection of the tumor appears to be the treatment of choice. Local excision does not prolong the survival of patients. After a radical excision, the mean survival time is 7∼12 months and the estimated 5 year survival is 4.2%. However, after a local excision, the average survival time is 9 months and there is no report of a patient who survived more than 1year. We encountered a 55-year-old woman with a primary malignant melanoma of the esophagus, who underwent a radical esophageal resection with a lymph node dissection. We report this case with a review of the relevant literature. (Korean J Gastrointest Endosc 2006;33:220⁣225)
Key Words: Malignant melanoma, Esophagus
주요어: 악성 흑색종, 식도
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