Esophageal melanocytosis is a rare clinical and pathological condition characterized by non-atypical melanocytic proliferation and increased melanin in the esophageal mucosa, which is normally histologically non-melanocytic. Intensive melanin accumulation and hyperpigmentation are necessary for endoscopic recognition. Due to the fact that it is a rare gastrointestinal system pathology, experience and knowledge about its diagnosis, treatment and course are also limited. Although it is argued that chronic stimulating factors have an influence, there is no clear information about its etiology and pathogenesis. Malignant melanomas and melanocytic nevus in particular come to the fore in the differential diagnosis. Opinions and findings indicating that melanocytosis may be a precursor for malignant melanoma make the recognition and follow-up of this clinical and pathological entity more important. In this article, a patient with esophageal melanocytosis diagnosed by endoscopic evaluation is presented, with the aim of increasing the awareness of clinicians, especially endoscopists and pathologists, on this subject.
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| http://dx.doi.org/10.5152/turkjsurg.2017.3807 | DOI Listing |
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Article Synopsis
- A 62-year-old man was diagnosed with right hypopharyngeal cancer in 2019 and subsequent esophageal melanosis was found during an upper GI endoscopy.
- In February 2021, follow-up testing revealed that he had developed esophageal primary malignant melanoma, though scans showed no spread of the cancer.
- He underwent surgery to remove the affected area and is now regularly monitored as an outpatient without any signs of recurrence, highlighting the importance of careful follow-up for esophageal melanocytosis to catch any early signs of melanoma.
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