title: Solitary pulmonary metastasis from primary melanoma of the oesophagus 5 years after resection of the primary tumor.
abstract: BACKGROUND
  Primary malignant melanoma of the oesophagus (PMME) is an uncommon tumor. PMME has an aggressive biological behavior, similar to melanomas developed elsewhere in the body. Most patients die from distant metastases, and the overall 5 year survival rate is approximately 4%.
  
  
  METHODS
  We report a rare case of a solitary pulmonary metastasis found 5 years after curative resection of primary esophageal melanoma. No other sites of metastatic disease were identified. Video-assisted lung wedge resection of the lung nodule was carried out successfully.
  
  
  CONCLUSIONS
  This supports the concept that patients with primary melanoma of the oesophagus treated should be carefully followed up.
authors.affiliation: Department of Surgical Sciences, University of Insubria, Varese, Italy. gianlorenzo.dionigi@uninsubria.it
authors.forename: Gianlorenzo
authors.initials: G
authors.lastname: Dionigi
authors.forename: Francesca
authors.initials: F
authors.lastname: Rovera
authors.forename: Luigi
authors.initials: L
authors.lastname: Boni
authors.forename: Andrea
authors.initials: A
authors.lastname: Imperatori
authors.forename: Renzo
authors.initials: R
authors.lastname: Dionigi