A 66-year-old man presented with complaint of abdominal pain and heartburn. Five months
earlier, he had been diganosed with unresectable malignant melanoma of the scalp (Supplementary
Figure 1A, B) and treated with pembrolizumab and dacarbazine. A review of systems
was significant for generalized weakness and poor oral intake. On physical examination,
multiple lymph nodes were palpated on both neck areas. Laboratory testing revealed
markedly decreased protein and albumin levels (4.1 g/dL and 1.7 g/dL, respectively).
Esophagogastroduodenoscopy revealed numerous black nodular elevations throughout the
esophagus, stomach (Figure 1), and duodenum (Figure 2), demonstrating that malignant melanoma had metastasized extensively to the gastrointestinal
tract.
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References
- Metastatic malignant melanoma of the gastrointestinal tract.Clin Gastroenterol Hepatol. 2008; 6 (A24–A24.e1)
- Malignant melanoma metastatic to the gastrointestinal tract.Melanoma Res. 2002; 12: 169-173
- Metastatic melanoma: an unusual cause of gastrointestinal bleeding and intussusception-a case report.Int J Surg Case Rep. 2018; 53: 144-146
Article info
Publication history
Published online: March 18, 2020
Accepted:
March 11,
2020
Received:
November 21,
2019
Footnotes
The authors have no sources of funding or conflicts of interest to disclose.
Identification
Copyright
© 2020 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
