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A giant thoraco-axillary melanoma: a primary tumour or metastasis from an unnoticed digital lesion? Volume 8, issue 5, September-October 2022

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Authors
1 Hôpital général de référence de Niamey, Unité de chirurgie thoracique, Niamey, Niger. <rabiousani2@gmail.com>
2 Université Abdou Moumouni de Niamey, Faculté de médecine et de pharmacie, BP 10896, Niamey, Niger.
3 CHU Hassan II, Service de chirurgie thoracique, BP 1835, Avenue Hassan II, Fès, Maroc. <lakranbim@gmail.com> <ouadnounini@gmail.com> <smct267@gmail.com>
4 Université Sidi-Mohamed-Ben-Abdellah, Faculté de médecine et de pharmacie, BP 30000, Route d’Imouzzer, Fès, Maroc.
* Tirés à part : S. Rabiou
Remerciements et autres mentions :
Financement : aucun.
Liens d’intérêts : les auteurs déclarent ne pas avoir de lien d’intérêt.

We report a case of a 62-year-old patient admitted to the emergency department for a giant axillary mass with a progressive course. The patient reported an amputation of the fifth finger after a traumatic injury. He also reported the presence of a pigmented lesion of unknown nature on the same finger. A diagnosis of giant melanoma was suspected given the patient history and the clinical and radiological aspects of the tumour. Complete excision of the lesion was performed and the histopathological examination confirmed the diagnosis of malignant melanoma. This clinical case illustrates not only the aggressive, metastatic character of malignant melanoma, the primary of which may go unnoticed, but also the huge aspect of the mass occupying the entire left axilla, requiring aggressive surgery.