Primary malignant melanoma of the liver: a case report

World J Gastroenterol. 2008 Aug 21;14(31):4968-71. doi: 10.3748/wjg.14.4968.

Abstract

Primary malignant melanoma of the liver is an exceedingly rare tumor. Only 12 cases have been reported in the worldwide literature. We present a case of isolated malignant melanoma of the liver occurring in a 36-year-old Chinese male patient. Comprehensive dermatologic and ophthalmologic examinations revealed no evidence of a cutaneous or ocular primary lesion. Other lesions in brain, respiratory tract, lung, gastrointestinal tract and anus, were not demonstrated by serial position emission tomography (PET). Microscopic examination of the resected specimen revealed a malignant melanoma, which was confirmed by immunohistochemical staining for HMB-45, S-100 protein, melanoma-pan and vimentin. Moreover, electron microscopy demonstrated melanosomes in tumor cell cytoplasm. Our case shows that primary malignant melanoma may occur in the liver and should be considered when the histopathological appearance is not typical for other hepatic neoplasm.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Antineoplastic Agents / therapeutic use
  • Chemotherapy, Adjuvant
  • Hepatectomy
  • Humans
  • Immunologic Factors / therapeutic use
  • Interferon alpha-2
  • Interferon-alpha / therapeutic use
  • Liver Neoplasms / chemistry
  • Liver Neoplasms / pathology*
  • Liver Neoplasms / therapy
  • Male
  • Melanoma / chemistry
  • Melanoma / pathology*
  • Melanoma / therapy
  • Melanosomes / pathology
  • Recombinant Proteins
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Antineoplastic Agents
  • Immunologic Factors
  • Interferon alpha-2
  • Interferon-alpha
  • Recombinant Proteins