A case report of metastatic giant sarcomatoid melanoma with BRAF V600E mutation: a complete response to targeted therapy
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Matteo Torresetti1, Donatella Brancorsini2, Francesca Morgese3, Valeria Cognigni3, Alessandro Scalise1, Rossana Berardi3 and Giovanni Di Benedetto1
1 Clinic of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, Ancona, Italy
2 Section of Pathological Anatomy, Marche Polytechnic University Medical School, Ancona, Italy
3 Clinic of Medical Oncology, Marche Polytechnic University Medical School, Ancona, Italy
Keywords: sarcomatoid melanoma; giant melanoma; BRAF mutation; targeted therapy; next-generation sequencing
Received: May 11, 2020 Accepted: July 21, 2020 Published: August 25, 2020
Sarcomatoid melanoma is an extremely rare pattern of malignant melanoma, and only few cases have been described throughout the literature. We herein report a case of a patient with newly diagnosed, metastatic giant sarcomatoid melanoma of the arm. The patient underwent surgical removal of the huge mass, and NGS sequencing demonstrated BRAF V600E mutation.
In view of histological, immunohistochemical and molecular findings, a combined BRAF/MEK inhibitor (BRAF/MEK-i) therapy was prescribed as first line treatment. A complete response (over one year) to targeted therapy was obtained, and no adverse events have been reported. The patient maintained a full range of shoulder and elbow movements, and she is able to live independently and resume her daily activities. We therefore recommend that all patients with undifferentiated melanomas, sarcomatoid cutaneous malignancies or other mesenchymal tumours, should undergo BRAFV600E mutation testing.
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