Metastatic Amelanotic
Melanoma with Occult Primary
Masquerading as Sarcoma
Published: February 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.5554
Niyaz Ahmed, Ranjit Kumar Padhiari, Praveen G P, Vishnu Kurpad
1. Senior Resident, Department of General Surgery, Bangalore Medical College and Research Institute, Bangalore, India.
2. PG Student, Department of General Surgery, Bangalore Medical College and Research Institute, Bangalore, India.
3. PG Student, Department of General Surgery, Bangalore Medical College and Research Institute, Bangalore, India.
4. Resident, Department of Oncosurgery, Kidwai Memorial Institute of Oncology, Bangalore, India.
Correspondence
Dr. Niyaz Ahmed,
Devinagar, Door. No. 25, Ward No. 25, Near Mecca Mosque, Bellary, Karnataka- 583104, India.
E-mail: niyazbly8940@gmail.com
Malignant melanoma with occult primary is extremely rare. It is found that survival is almost same or even better than the melanomas with known primary site. Surgeons should have a high index of suspicion when a patient presents like sarcoma which bleeds profusely when planning for excision. Here, is an unusual case of young adult which presented initially with granulomatous lymphandenitis in axilla with primary suspicion of tuberculosis, later turning out to be sarcoma on FNAC and MRI. On immunochemistry (IHC), the final diagnosis of amelanotic melanoma was made and further workup did not show up any primary site of origin.
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