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.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to The American Journal of the Medical Sciences
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- 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
Published online: March 18, 2020
Accepted: March 11, 2020
Received: November 21, 2019
The authors have no sources of funding or conflicts of interest to disclose.
© 2020 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.