# A Rare Case of Primary Malignant Melanoma of the Esophagus Presenting as Dysphagia

## TL;DR

This paper reports a rare case of esophageal melanoma that presented with difficulty swallowing and was diagnosed at a metastatic stage.

## Contribution

The novelty lies in describing a rare primary esophageal melanoma case with late presentation and metastasis.

## Key findings

- Primary malignant melanoma of the esophagus is rare and often detected at metastatic stage.
- The patient presented with dysphagia to solid food, leading to diagnosis of metastatic disease.
- Symptoms appear late, delaying detection in gastrointestinal primary melanomas.

## Abstract

Melanoma is one of the most notorious tumors due to its appearance in unusual locations. The most frequent site is the skin; however, it can sporadically develop as a primary tumor in the esophagus. However, as symptoms appear later, if the primary site is in the gastrointestinal system, it is frequently detected at the metastatic stage. We hereby describe a case of primary malignant melanoma of the esophagus that presented due to dysphagia with solid food and on further workup, found to be at the metastatic stage.