Desmoplastic malignant melanoma presenting as large lung mass.
We describe a case of successful minimally invasive thoracoscopic surgical resection of metastatic desmoplastic malignant melanoma replacing the entire right lower lobe of the lung, presenting 4 years after the initial complete resection of the primary scalp lesion. An 89-year-old man presented with a 6-month history of right-sided chest pain. A computed tomographic scan showed a large paravertebral mass with possibility of chest wall invasion. Core biopsy initially raised the suspicion of a schwannoma. We also discussed the atypical delayed presentation and misleading radiologic and histologic findings.
Al-Alao
Bassel Suffian
BS
Department of Cardiothoracic Surgery, Beacon Hospital, Sandyford, Dublin, 18 Ireland. bassel.al-alao@beaconhospital.ie
Shuhaibar
Maher Nicolas
MN
D000369:Aged, 80 and over; D006258:Head and Neck Neoplasms / Q000473:pathology; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000556:secondary / Q000601:surgery; D008297:Male; D008545:Melanoma / Q000175:diagnosis* / Q000556:secondary / Q000601:surgery; D012535:Scalp; D012878:Skin Neoplasms / Q000473:pathology