Table 1 Reported cases of primary malignant melanoma of the adrenal gland

Kniseley and Baggentoss [1]

Back pain, abdominal mass, anorexia

Radiotherapy

Died two months after detection

Dick et al. [2]

Painless, slowly growing mass

Surgery without specification

Died 15 months later

Sasidharan et al. [3]

Asymptomatic; Well-defined, partly mobile, non-tender, globular lump confined to the left lumbar region

Adrenalectomy and nephrectomy

No follow-up

Carstens et al. [4]

Pain in the left flank, weight loss

Adrenalectomy and nephrectomy

Died seven months later

Parker and Vincent [5]

Asymptomatic. Casual finding in prostatic patient. Extrinsic compression of the proximal right ureter and displacement of the collecting system and renal contour laterally.

Autopsy examination

Died two months after diagnosis

Dao et al. [6]

Severe right flank pain

Adrenalectomy and nephrectomy

Died one month later

Amérigo et al. [7]

Intense post-prandial epigastric pain and weight loss

Adrenalectomy and nephrectomy

Alive 46 months later

Zalatnai et al. [8]

Nausea, mild weight loss, abdominal tenderness and constant left flank pain

Explorative laparotomy (non-resectable tumor)

Died three months later

Granero et al. [9]

Right flank pain, fever, nausea and vomiting

Adrenalectomy, nephrectomy and splenectomy

Alive 12 months later

Liatsikos et al. [10]

Mild flank pain, weight loss and anemia

Laparoscopic trans-peritoneal adrenalectomy

Alive 12 months later

Bastide et al. [11]

Right paroxystic lumbar pain, mass in the right flank

Adrenalectomy and nephrectomy

Died 18 months after surgery

Present case

Asthenia, anorexia, weight loss, left abdominal mass and anemia

Adrenalectomy, nephrectomy and splenectomy

Local recurrence, alive 10 years after first surgery

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