A rare tumor with an unusual presentation can pose a diagnostic and management dilemma.
In this paper, we will discuss the management of a 47-year-old lady with melanotic
schwanoma of the esophagus who presented with superior vena caval obstruction. The
initial histological diagnosis of esophageal metastatic malignant melanoma did not
corroborate the clinical and operative findings. Further evaluation revealed positivity
for HMB45, S-100 protein, and vimentin, and confirmed the diagnosis of melanotic schwannoma.
Melanotic schwannoma - Esophagus Mediastinal tumor - Superior vena caval obstuction
