[Primary malignant melanoma of the esophagus]

We report the case of primary malignant melanoma of oesophagus in a 63-year-old man who presented with a 8-week history of dysphagia. Esophagoscopy demonstrated a polypoid mass expanding in the mid-oesophagus without causing obstruction. Based on histological and immunohistochemical studies, the diagnosis of primary esophageal malignant melanoma was made. Radical resection was not possible because of regional tumour extension at the time of diagnosis. The patient underwent percutaneous endoscopic gastrostomy. Death occurred 4 months later because of acute respiratory failure.