A case of malignant melonoma presenting with upper gastrointestinal bleeding.

Abstract

Malignant melanoma can metastasize to the gastrointestinal tract as it can metastasize to many parts of the body. Small bowel is the most common involvement in gastrointestinal tract, while gastric involvement is rare. A 82-year-old male patient who presented to the emergency department with complaints of hematemesis and melena had a large number of black polypoid masses in the gastric corpus and antrum in his gastroscopic  examination. And the result of the biopsy taken from that part, was malignant melanoma. In this way, it is very rare that a patient who is not known to have malignant melanoma, presents with upper gastrointestinal bleeding.

Keywords

• gastric metastasis,Malignant melanoma,gastrointestinal bleeding

References

1. 1. Skender-Kalneas TM, English DR, Heenan PJ. Benign melanocytic lesions: risk marker or precursors of cutaneous melanoma? J Am Acad Dermatol 1995;33:1000-7.
2. 2. Rigel DS. The many faces of melanoma. In: Rigel DS, Friedman RJ, Dzubow LM, Reintgen DS, Bystryn JN, Marks R, editors. Cancer of the skin. 1st ed. China Elsevier: Saunders;2005. p.167-73.
3. 3. Giblin AV, Thomas JM. Incidence, mortality and survival in cutaneous melanoma. Journal of Plastic Surgery 2007; 60(1):32-40
4. 4. Schuchter LM, Green R, Fraker D. Primary and metastatic diseases in malignant melanoma of the gastrointestinal tract. Curr Opin Oncol. 2000;12(2):181-185.
5. 5. Falk V, Zepeda-Gomez S, Sultanian R, et al. BMJ Case Rep Published Online First: [please include Day Month Year]. doi:10.1136/bcr-2018- 225869
6. 6. Conversano A, Macina S, Indellicato R, Lacavalla D, D'Abbicco D. Gastrointestinal bleeding as presentation of small bowel metastases of malignant melanoma: Is surgery a good choice? Int J Surg Case Rep. 2014;5(10):774-8.
7. 7. E.A. Kotteas, A. Adamopoulos, P.D. Drogıtıs, A. Zalonıs, K.V. Gıannopoulos,E.M. Karapanagıotou, M. Wasıf Saıf And K.N. Syrıgos. Gastrointestinal Bleeding as Initial Presentation of Melanoma of Unknown Primary Origin: Report of a Case and Review of the Literature in vivo 23: 487-490 2009
8. 8. DasGupta TK, Brasfield RD. Metastatic melanoma of the gastrointestinal tract. Arch Surg. 1964;88(6):969-973.

9. 9. Patel JK, Didolkar MS, Pickren JW, Moore RH. Metastatic pattern of malignant melanoma: a study of 216 autopsy cases. Am J Surg. 1978;135(6):807-810.
10. 10. Hao XS, Li Q, Chen H. Small bowel metastases of malignant melanoma: palliative effect of surgical resection. Jpn J Clin Oncol. 1999;29(9):442-444.