Multiple Simultaneos Metastases of Malignant Melanoma in the Stomach, Small and Large Intestine

Filip Vukmirovic, Mihailo Vukmirovic, Irena Vukmirovic



Introduction: Melanoma is the primary tumor of melanocytes with gastrointestinal metastases whichocurs in about 2% of the patients.


Aim: The aim of this paper is to present a patient with multiple simultaneos metastases of melanomain the gastrointestinal tract and draw attention to the occurrence of gastrointestinal symptoms in patientswith melanoma.


Patients and Methods. We report a case of 74 years-old male with previously removed skin melanomathree years ago, and with symptoms such as anemia, weight loss and abdominal pain.


Results: On gastroscopy two tumours sized 3 cm and 3,5 cm, on the front and rear stomach wall wasdetected. On colonoscopy, tumor size 3 cm was detected in sigmoid colon. During surgical operationin addition to these were found three more tumors on small intestine sized from 3 cm to 6 cm.Microscopicaly the diagnosis of metastatic melanoma was made.


Conclusion: Gastrointestinal metastases of malignant melanoma are rare but it should be consideredin any patient with a history of melanoma who develops gastrointestinal symptoms.



melanoma; simultaneous metastases; stomach; small intestine; large intestine.

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Copyright (c) 2014 Filip Vukmirovic, Mihailo Vukmirovic, Irena Vukmirovic

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