Anal mucosal melanoma with KIT-activating mutation and response to imatinib therapy--case report and review of the literature

Dermatology. 2010;220(1):77-81. doi: 10.1159/000265558. Epub 2009 Dec 9.


Previously an increased frequency of KIT aberrations in mucosal melanomas was reported, whereas c-KIT in most types of cutaneous melanomas does not appear to be of pathogenetic importance. Imatinib has become the standard of care in other cancers with KIT mutations such as gastrointestinal stromal tumors. Recently 12 cases of metastatic melanoma and KIT-activating mutations have been published to be successfully treated with c-KIT blockers such as imatinib, sunitinib, dasatinib or sorafenib. We report here on one of our patients with KIT-activating mutation in metastatic anal mucosal melanoma, who showed a response to imatinib therapy and summarize the available literature regarding this new therapeutic option.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Antineoplastic Agents / therapeutic use*
  • Anus Neoplasms / drug therapy*
  • Anus Neoplasms / secondary
  • Benzamides
  • Female
  • Humans
  • Imatinib Mesylate
  • Melanoma / drug therapy*
  • Melanoma / genetics
  • Melanoma / secondary
  • Mucous Membrane / drug effects
  • Mucous Membrane / pathology
  • Mutation
  • Piperazines / therapeutic use*
  • Protein Kinase Inhibitors / therapeutic use*
  • Proto-Oncogene Proteins c-kit / antagonists & inhibitors
  • Proto-Oncogene Proteins c-kit / genetics
  • Pyrimidines / therapeutic use*
  • Skin Neoplasms / genetics
  • Skin Neoplasms / pathology*


  • Antineoplastic Agents
  • Benzamides
  • Piperazines
  • Protein Kinase Inhibitors
  • Pyrimidines
  • Imatinib Mesylate
  • Proto-Oncogene Proteins c-kit