Progression of untreated gastric and pulmonary metastasis in a patient with resected acral melanoma. Issue 3 (9th March 2022)

• Record Type: Journal Article
• Authors: Chawla, Gurasees S; Tolu, Seda S; Arora, Shitij
• Is Part Of: BMJ case reports. Volume 15:Issue 3(2022)
• Publication Date: 2022-03-09
• Subjects: Gastroenterology -- Pathology -- Oncology; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2021-247683
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We report a man in his 80s who presents with epigastric abdominal pain and fatigue for 2 weeks. His medical history was significant for left toe acral melanoma (excised 6 years prior) and a lung mass, further workup for which was declined at the time by the patient. On presentation, he had iron deficiency anaemia and esophagogastroduodenoscopy revealed a gastric mass. Histopathological analysis of gastric and subsequently, pulmonary, lesions were consistent with metastatic melanoma. This case demonstrates the unique slow progression of untreated pulmonary metastasis in metastatic melanoma.