Malignant melanoma, a highly metastatic potential tumor, is rarely metastasing in the airways. Endobronchial metastasis occurs in about 2-5% of patients dying of tumors of extrathoracic origin. The survival in almost all cases is poor. No definitive treatment options are available to improve survival. In cases of central airways obstruction, endobronchial resection of the tumor remains the main palliative therapy.
