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Year : 2018  |  Volume : 51  |  Issue : 3  |  Page : 125-128

Primary cervical spine melanoma

1 Department of Neurology, Mac Kay Memorial Hospital, Taitung, Taiwan
2 Department of Neurosurgery, Mac Kay Memorial Hospital, Taitung, Taiwan
3 Department of Radiology, Mac Kay Memorial Hospital, Taitung, Taiwan
4 Department of Pathology, Mac Kay Memorial Hospital, Taitung, Taiwan

Correspondence Address:
Dr. Cheng-Neng Chen
Department of Neurosurgery, Mac Kay Memorial Hospital, Taitung
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/fjs.fjs_77_17

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Primary spinal melanoma is too rare to have any systemic statistical data on the epidemiology of this disease. We report a 58-year-old woman presented with spastic gait for 10 days, preceded by chronic pain at her left anterior chest that progressively spread to her neck, left shoulder, and arm in half a year. Cervical magnetic resonance imaging (MRI) displayed a well-enhancing focal intraspinal extramedullary tumor at C6/7 level. After surgical resection of the tumor and thorough studies to exclude extraspinal melanoma, the primary spinal melanoma is diagnosed. Postoperative MRI did not disclose any evidence of recurrence at 4 and 21 months later. We present the clinical, radiological, and pathological features of a patient with a primary cervical extramedullary spinal melanoma.

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