Adrenal gland melanoma without evidence of skin lesion: an unusual presentation. Case report

Adrenal gland melanoma is rare.The diagnostic criteria included involvement of a single adrenal gland, histological exa-mination, no primary melanoma tumor, and no history of resection of pigmented lesions.We present the case of a 76-year-old woman with a history of smoking and hypertension who was admitted because of pain in the right lumbar region, with suspicion of a tumor in the adrenal gland.During surgery, the tumor was removed without complications, and a diagnosis of melanoma was made using immunohistochemical.Diagnostic suspicion and early approach are key due to the high mortality rate of melanoma.