Atypical Presentation of a Metastatic Cutaneous Malignant Melanoma

Gabriel Dimofte1, Felicia Crumpei2, Georgeta Munteanu3, Dragos Negru4, Carol Stanciu5
1) 1st Surgical Clinic, University of Medicine and Pharmacy "Gr. T. Popa". 2) Department of Radiology, University Hospital "St. Spiridon". 3) Department of Pathology, University Hospital "C.I. Parhon". 4) Department of Radiology. 5) Department of Gastroenterology, University of Medicine and Pharmacy "Gr. T. Popa", Iasi

Abstract

A 55 year old male patient was referred for gastro-duodenal barium studies on account of nonspecific abdominal discomfort. The appearance of unusual gastric and duodenal ulcerations determined his referral for endoscopic evaluation, which diagnosed the lesions as metastatic malignant melanoma. A thorough evaluation of the metastatic spread demonstrated a very aggressive malignant melanoma, with metastases in the lungs, lymph nodes, cerebrum, as well as gastroduodenal. We present this case for the unusual clinical development of symptoms and the diagnostic sequence of a cutaneous malignant melanoma, initiated by the identification of multiple gastric and duodenal metastasis.