Primary malignant melanoma of the stomach: a rare entity. Issue 9 (9th September 2020)

• Record Type: Journal Article
• Authors: Zechariah, Pradeep; Surendran, Suraj; Abraham, Vijay; Samarasam, Inian
• Is Part Of: BMJ case reports. Volume 13:Issue 9(2020)
• Publication Date: 2020-09-09
• Subjects: malignant disease and immunosuppression -- stomach and duodenum -- gastric cancer -- gastrointestinal surgery -- pathology; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2020-234830
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 54-year-old man presented with easy fatiguability, dyspnoea on exertion and dyspeptic symptoms. On evaluation, he was found to have an ulcero-proliferative growth in the gastric fundus, the biopsy of which was malignant melanoma of the stomach. Further evaluation with 18F-fluorodeoxyglucose positron emission tomography-computed tomography (18F-FDG PET-CT) scan showed operable disease with no focus of disease elsewhere. He was diagnosed as primary gastric melanoma and underwent radical total gastrectomy with adequate margins. His postoperative period was uneventful. Further adjuvant therapy was refused by the patient. At 6-month follow-up, an 18F-FDG PET-CT scan was done, which showed no evidence of disease. On follow-up at 1-year, he was alive and asymptomatic.