Malignant melanoma presenting as a mediastinal mass

Ann Thorac Surg. 1999 Mar;67(3):851-2. doi: 10.1016/s0003-4975(99)00075-2.

Abstract

A case of malignant melanoma presenting as a mediastinal mass without an extrathoracic primary is reported. Microscopically the tumor appeared consistent with malignant melanoma, with the presence of focal melanin pigment in large epithelioid cells. Fontana stain confirmed the presence of melanin pigment. Immunohistochemical staining further suggested melanoma, with the tumor cells expressing a HMB45+, S100+ and cytokeratin-phenotype. Electron microscopy showed an abundance of melanosomes confirming the diagnosis of malignant melanoma.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Female
  • Humans
  • Immunohistochemistry
  • Mediastinal Neoplasms / chemistry
  • Mediastinal Neoplasms / diagnosis*
  • Mediastinal Neoplasms / diagnostic imaging
  • Mediastinal Neoplasms / pathology
  • Melanoma / chemistry
  • Melanoma / diagnosis*
  • Melanoma / diagnostic imaging
  • Melanoma / pathology
  • Radiography