Case Report: Care Report: Primary malignant melanoma of the breast

Primary malignant melanoma of the breast (P.M.M.B.) is rare. Clinical features of P.M.M.B. are variable, and early complete excision precedes all treatment modalities. We present the case of a man with a P.M.M.B. of the left breast parenchyma with skeletal metastasis. There was evidence of involvement of the skin. Axillary lymph nodes were affected. An excisional biopsy of the breast mass suggested malignant melanoma. Unfortunately, the patient was not willing for treatment. Three months later, the patient died, possibly due to metastases. An extensive literature search previously found only six patients with P.M.M.B. from the parenchyma of the breast. This case might be the seventh case to be reported in literature arising from breast parenchyma. It is our humble attempt to increase awareness of this rare tumor. Prompt identification, timely appropriate surgical treatment, chemotherapy combined with judicious use of monoclonal antibodies, and other modalities may improve a patient's prognosis.