Adrenal gland involvement by metastatic melanoma is a common finding in patients with cutaneous or ocular melanomas. We report on the presence of an adrenal gland melanoma in a young female, without a documented primary lesion. A diagnosis of a primary adrenal melanoma was considered after applying diagnostic criteria, could not be established. An attempt at resection via a nephroadrenalectomy and bilateral pulmonary metastectomies were performed. At 6-month follow up the patient with disease progression and demised prior to initiation of chemotherapy, at 22 years of age.
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Adam et al. (2010) studied this question.