Open AccessEndoscopic Detection of Gastric Metastases in Skin Melanoma
Author(s) -
М Ю Кабанов,
Konstantin V. Sementsov,
Денис Борисович Дегтерев,
М. Я. Беликова,
Д. К. Савченков,
Taras E. Koshelev,
Арина Константиновна Стечишина
Publication year - 2020
Publication title -
rossijskij žurnal gastroènterologii, gepatologii, koloproktologii
Language(s) - English
Resource type - Journals
eISSN - 2658-6673
pISSN - 1382-4376
DOI - 10.22416/1382-4376-2020-30-6-63-68
Subject(s) - medicine , melanoma , pathognomonic , esophagogastroduodenoscopy , stomach , malignancy , gastrointestinal tract , radiology , dermatology , cancer , endoscopy , pathology , gastroenterology , disease , cancer research
Aim . A clinical description of disseminated skin melanoma with endoscopic observation of its pathognomonic pigmented metastases into the stomach. Key points . A 66-yo patient was hospitalised with dyspnoea, general weakness, cough and suspected community-acquired pneumonia. The patient had a complex examination, including computed tomography, which revealed a presumed malignancy of the right lung with secondary changes in the chest and abdominal organs. Esophagogastroduodenoscopy (EGDS) visualised multiple pigmented spots and raised black plaques in cardia and the gastric body diagnosed as a metastasising melanoma in stomach. Endoscopic verication of the metastases conrmed the correct diagnosis of primary skin melanoma. Conclusion . Metastatic melanoma of the gastrointestinal tract has non-specic symptoms and most often occurs during the dissemination process. Endoscopy should be used to correctly verify pigmented mucosal lesions, necessarily allowing for non-pigmented gastric neoplasms in patients with skin melanoma in history.