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Melanoma is the primary tumor of melanocytes with gastrointestinal metastases which ocurs in about 2% of the patients. Aim: The aim of this paper is to present a patient with multiple simultaneos metastases of melanoma in the gastrointestinal tract and draw attention to the occurrence of gastrointestinal symptoms in patients with melanoma. Patients and Methods. We report a case of 74 years-old male with previously removed skin melanoma three years ago, and with symptoms such as anemia, weight loss and abdominal pain. Results: On gastroscopy two tumours sized 3 cm and 3,5 cm, on the front and rear stomach wall was detected. On colonoscopy, tumor size 3 cm was detected in sigmoid colon. During surgical operation in addition to these were found three more tumors on small intestine sized from 3 cm to 6 cm. Microscopicaly the diagnosis of metastatic melanoma was made. Conclusion: Gastrointestinal metastases of malignant melanoma are rare but it should be considered in any patient with a history of melanoma who develops gastrointestinal symptoms.

Multiple Simultaneos Metastases of Malignant Melanoma in the Stomach, Small and Large Intestine