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A young man with a large lung mass

Steven Praske, David Bradshaw, John Roberts, John Childs
  • Steven Praske
    Pulmonary and Critical Care Medicine Department, Naval Medical Center San Diego, United States | steven.praske@med.navy.mil
  • David Bradshaw
    Pulmonary and Critical Care Medicine Department, Naval Medical Center San Diego, United States
  • John Roberts
    Pathology Department, Naval Medical Center San Diego, United States
  • John Childs
    Pathology Department, Naval Medical Center San Diego, United States

Abstract

A 27-year-old man presented with a large solitary lung mass. Transbronchial lung biopsy and lobectomy specimens showed malignant melanoma. A thorough search for a primary melanoma lesion, including an ophthalmic exam and a dermatologic exam with special attention to the skin, mucous membranes, genitals, perineum, scalp, and nails showed no lesions suspicious for a melanoma. The diagnosis of primary malignant melanoma of the lung was considered. Whole-body positron emission tomography scan with computed tomography fusion imaging at the time of diagnosis showed no evidence of tumor outside the chest, and the diagnosis of primary malignant melanoma of the lung was confirmed. The prognosis of patients with this exceedingly rare neoplasm is poor, though surgical intervention may be warranted in some cases.

Keywords

lung, neoplasm, melanoma.

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Submitted: 2011-09-05 21:23:17
Published: 2012-02-13 12:56:05
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Copyright (c) 2012 Steven Praske, David Bradshaw, John Roberts, John Childs

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