Ann Clin Case Rep | Volume 7, Issue 1 | Case Report | Open Access

A Rare Case of Symptomatic Gastric and Colonic Metastases of Cutaneous Malignant Melanoma

Orlando FA1*, Kallas HE2, Gonzalo DH3 and Amaris MA4

1Department of Community Health and Family Medicine, University of Florida College of Medicine, USA
2Department of Medicine, Division of Geriatrics, University of Florida College of Medicine, USA
3Department of Pathology, Immunology and Laboratory Medicine, University of Florida College of Medicine, USA
4Department of Internal Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Florida College of Medicine, USA

*Correspondance to: Frank A. Orlando 

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Abstract

We present a case of a 72-year-old man who sought medical attention for fatigue, lightheadedness, and exertional chest pain and who had been surgically treated for cutaneous malignant melanoma of the lower back about 6 years prior. The patient was found to have severe iron deficiency anemia, and his endoscopic Gastrointestinal (GI) studies revealed synchronous metastatic lesions of the stomach and colon with discrete macroscopic features. A complete workup demonstrated widely metastatic disease including brain, lung, and bone. He underwent stereotactic radiosurgery of his brain lesions and initiated immunotherapy with nivolumab. This case illustrates a rare presentation of symptomatic GI metastases leading to prompt diagnosis and initiation of treatments for metastatic malignant melanoma.

Citation:

Orlando FA, Kallas HE, Gonzalo DH, Amaris MA. A Rare Case of Symptomatic Gastric and Colonic Metastases of Cutaneous Malignant Melanoma. Ann Clin Case Rep. 2022; 7: 2374.

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