Endoscopic Detection of Gastric Metastases in Skin Melanoma

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 e...

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Main Authors: M. Yu. Kabanov, K. V. Sementsov, D. B. Degterev, M. Ya. Belikova, D. K. Savchenkov, T. E. Koshelev, A. K. Stechishina
Format: Article
Language:Russian
Published: Gastro LLC 2020-12-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
Online Access:https://www.gastro-j.ru/jour/article/view/536
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author M. Yu. Kabanov
K. V. Sementsov
D. B. Degterev
M. Ya. Belikova
D. K. Savchenkov
T. E. Koshelev
A. K. Stechishina
author_facet M. Yu. Kabanov
K. V. Sementsov
D. B. Degterev
M. Ya. Belikova
D. K. Savchenkov
T. E. Koshelev
A. K. Stechishina
author_sort M. Yu. Kabanov
collection DOAJ
description 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 verification of the metastases confirmed the correct diagnosis of primary skin melanoma.Conclusion. Metastatic melanoma of the gastrointestinal tract has non-specific 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.
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institution Kabale University
issn 1382-4376
2658-6673
language Russian
publishDate 2020-12-01
publisher Gastro LLC
record_format Article
series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-57cb62f0f6e541b1a175e2eb8665c4542025-02-10T16:14:36ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732020-12-01306636810.22416/1382-4376-2020-30-6-63-68406Endoscopic Detection of Gastric Metastases in Skin MelanomaM. Yu. Kabanov0K. V. Sementsov1D. B. Degterev2M. Ya. Belikova3D. K. Savchenkov4T. E. Koshelev5A. K. Stechishina6Mechnikov North-Western State Medical University; War Veterans’ HospitalMechnikov North-Western State Medical University; War Veterans’ HospitalWar Veterans’ HospitalMechnikov North-Western State Medical University; War Veterans’ HospitalMechnikov North-Western State Medical University; War Veterans’ HospitalMechnikov North-Western State Medical UniversityMechnikov North-Western State Medical UniversityAim. 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 verification of the metastases confirmed the correct diagnosis of primary skin melanoma.Conclusion. Metastatic melanoma of the gastrointestinal tract has non-specific 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.https://www.gastro-j.ru/jour/article/view/536
spellingShingle M. Yu. Kabanov
K. V. Sementsov
D. B. Degterev
M. Ya. Belikova
D. K. Savchenkov
T. E. Koshelev
A. K. Stechishina
Endoscopic Detection of Gastric Metastases in Skin Melanoma
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
title Endoscopic Detection of Gastric Metastases in Skin Melanoma
title_full Endoscopic Detection of Gastric Metastases in Skin Melanoma
title_fullStr Endoscopic Detection of Gastric Metastases in Skin Melanoma
title_full_unstemmed Endoscopic Detection of Gastric Metastases in Skin Melanoma
title_short Endoscopic Detection of Gastric Metastases in Skin Melanoma
title_sort endoscopic detection of gastric metastases in skin melanoma
url https://www.gastro-j.ru/jour/article/view/536
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AT myabelikova endoscopicdetectionofgastricmetastasesinskinmelanoma
AT dksavchenkov endoscopicdetectionofgastricmetastasesinskinmelanoma
AT tekoshelev endoscopicdetectionofgastricmetastasesinskinmelanoma
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