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Primary malignant melanoma of the oesophagus with a left atrial metastasis.
  1. M Chello,
  2. A R Marchese,
  3. A Panza,
  4. P Mastroroberto,
  5. F Di Lello
  1. Department of Cardiovascular Surgery, Medical School of Catanzaro, Italy.


    A 75 year old man with an eight month history of dysphagia and weight loss underwent pericardiocentesis for a massive pericardial effusion. The echocardiogram showed a mass in the left atrium, and computed tomography also showed distal oesophageal narrowing, which was found to be due to a malignant melanoma. The left atrial mass, investigated by immunoscintigraphy with technetium-99m labelled monoclonal antibody, was diagnosed as metastatic melanoma. This represents a rare case of primary oesophageal melanoma with left atrial metastasis.

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