Case report: Malignant melanoma of the lower limb with gastric metastasis

IntroductionMalignant melanoma with gastric metastasis is extremely rare. We report a case of gastric metastasis caused by malignant melanoma of the lower limb.Case presentationA 60-year-old woman was hospitalized for left plantar pain. The patient found a black maculopapular eruption on the left so...

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Main Authors: Qiang Hu, Fengru Zhou, Yuanshui Sun
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1181728/full
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author Qiang Hu
Fengru Zhou
Yuanshui Sun
author_facet Qiang Hu
Fengru Zhou
Yuanshui Sun
author_sort Qiang Hu
collection DOAJ
description IntroductionMalignant melanoma with gastric metastasis is extremely rare. We report a case of gastric metastasis caused by malignant melanoma of the lower limb.Case presentationA 60-year-old woman was hospitalized for left plantar pain. The patient found a black maculopapular eruption on the left sole of her left foot, which caused pain when pressed, and the pain was aggravated by walking, so she went to our hospital for treatment. On the second day of admission, the lesion of the left foot was removed under local anesthesia, and the removed tissue was sent for pathological examination. Combined with immunohistochemistry, it was consistent with malignant melanoma. During hospitalization, the patient developed abdominal pain and asked for gastroscopy. Gastroscopy revealed two 0.5 cm × 0.6 cm spots that can be seen arising from the stomach mucosa which were slightly swollen, slightly black in the center, and without erosion, and no abnormality was found in the other parts. At the same time, a biopsy was taken under a gastroscope and pathology suggests malignant melanoma. The patient could not undergo subsequent treatment due to cost. The patient was followed up until February 2022 and was within the survival period.ConclusionMalignant melanoma gastric metastasis is extremely rare. When a patient has a previous history of melanoma surgery, this needs to be considered when gastrointestinal symptoms are present, and regular endoscopic screening is recommended. Early surgical treatment and postoperative chemotherapy or combined targeted therapy may improve the prognosis of patients.
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spelling doaj.art-3729d03035964025842499ecdbbd30392023-04-11T22:13:08ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-04-011310.3389/fonc.2023.11817281181728Case report: Malignant melanoma of the lower limb with gastric metastasisQiang HuFengru ZhouYuanshui SunIntroductionMalignant melanoma with gastric metastasis is extremely rare. We report a case of gastric metastasis caused by malignant melanoma of the lower limb.Case presentationA 60-year-old woman was hospitalized for left plantar pain. The patient found a black maculopapular eruption on the left sole of her left foot, which caused pain when pressed, and the pain was aggravated by walking, so she went to our hospital for treatment. On the second day of admission, the lesion of the left foot was removed under local anesthesia, and the removed tissue was sent for pathological examination. Combined with immunohistochemistry, it was consistent with malignant melanoma. During hospitalization, the patient developed abdominal pain and asked for gastroscopy. Gastroscopy revealed two 0.5 cm × 0.6 cm spots that can be seen arising from the stomach mucosa which were slightly swollen, slightly black in the center, and without erosion, and no abnormality was found in the other parts. At the same time, a biopsy was taken under a gastroscope and pathology suggests malignant melanoma. The patient could not undergo subsequent treatment due to cost. The patient was followed up until February 2022 and was within the survival period.ConclusionMalignant melanoma gastric metastasis is extremely rare. When a patient has a previous history of melanoma surgery, this needs to be considered when gastrointestinal symptoms are present, and regular endoscopic screening is recommended. Early surgical treatment and postoperative chemotherapy or combined targeted therapy may improve the prognosis of patients.https://www.frontiersin.org/articles/10.3389/fonc.2023.1181728/fullmalignant melanomagastric metastasistumorlower limbcase report
spellingShingle Qiang Hu
Fengru Zhou
Yuanshui Sun
Case report: Malignant melanoma of the lower limb with gastric metastasis
Frontiers in Oncology
malignant melanoma
gastric metastasis
tumor
lower limb
case report
title Case report: Malignant melanoma of the lower limb with gastric metastasis
title_full Case report: Malignant melanoma of the lower limb with gastric metastasis
title_fullStr Case report: Malignant melanoma of the lower limb with gastric metastasis
title_full_unstemmed Case report: Malignant melanoma of the lower limb with gastric metastasis
title_short Case report: Malignant melanoma of the lower limb with gastric metastasis
title_sort case report malignant melanoma of the lower limb with gastric metastasis
topic malignant melanoma
gastric metastasis
tumor
lower limb
case report
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1181728/full
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