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Metastatic Malignant Melanoma of the Gastrointestinal Tract: A Review
Grzegorz S Nowakowski* Amindra S AroraAbstract
Malignant melanoma ranks among the most prevalent malignancies linked to gastrointestinal (GI) involvement, typically presenting clinically in advanced stages. Surgical intervention is often recommended as a palliative measure for GI metastases.
This case involves a 67-year-old male diagnosed with malignant melanoma seven months prior, who presented with burning epigastric pain and bloating. Esophagogastroduodenoscopy revealed multiple flat lesions, with biopsy results consistent with malignant melanoma.
Given malignant melanoma's propensity for early metastasis and its associated high mortality rate, comprehensive evaluation and management are crucial. As gastrointestinal involvement becomes increasingly recognized in metastatic workups, esophagogastroduodenoscopy emerges as a vital diagnostic tool, influencing treatment decisions and patient outcomes. While gastric metastases remain rare, the inclusion of upper endoscopy is imperative, particularly in symptomatic individuals, to effectively rule out metastatic disease.
