Primary isolated adrenal melanoma: A rare case report

Primary or isolated adrenal melanoma is an exceptionally rare condition, with only a few cases reported in the literature. We report a case of a 30-year-old women patient, presented a left lumbar pain for 6 months. Abdominopelvic computed tomography revealed a left adrenal mass measuring 59 × 57 × 42 mm. The patient underwent an open left adrenalectomy. Histopathological examination of the resected specimen confirmed the diagnosis of primary melanoma of the left adrenal gland. The patient received adjuvant immunotherapy. At 16 months of follow-up, she developed local recurrence in the left adrenalectomy bed, associated with the development of hepatic metastases.