Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 7 Issue 5

Rare Case Report- Melanoma Stomach

Bharat Patodiya*1, GV Rao2, Anuradha Sekaran3, Meenakshi Chowdhury4, Tharni putta5 and D Nageshwar Reddy6

1Department of Medical Oncology, Omega Hospitals, Hyderabad, India
2Chief and Head surgical Gastroenterologist, AIG Hospitals, Hyderabad, India
3Consultant Pathologist AIG Hospitals, India
4Director Dhanvantari Implant clinic, New Delhi, India
5Consultant Radiologist, AIG Hospitals, India
6Chairman and Chief of Gastroenterology AIG Hospitals, India

*Corresponding Author: Bharat Patodiya, Department of Medical Oncology, Omega Hospitals, Hyderabad, India.

Received: March 20, 2023; Published: April 18, 2023

Abstract

We report the case of a 50-year-old female who presented with blood-stained vomiting. Physical exam and laboratory studies was unremarkable. USG abdomen revealed thickening of walls of body of stomach with peri gastric oedema. A contrast CT scan suggestive of polypoidal endophytic growth in the distal body of stomach with left lower lobe lung 3mm deposit. Endoscopy biopsy from stomach was suggestive of poorly differentiated malignancy and immunohistochemical staining demonstrating patchy positivity CD43, CD45 and BCL-2 positivity. Whole body positron emission tomography (18-FDG-PET/CT) demonstrated metabolically active heterogeneously enhancing polypoidal soft tissue mass in the body of the stomach along the greater curvature as described - Primary. Low grade metabolically active few tiny peri gastric lymph nodes were also involved. Metabolically active tiny soft tissue nodule in the left lower lobe was described metastatic. Since the IHC markers PanCK and chromogranin negativity allowed to suspect primary gastric melanoma in this patient. The treatment of oligo metastatic Melanoma patients underwent gastrectomy along with gastrojejunostomy jejunojejunostomy. Very few cases of primary gastric melanoma have been reported. We report this case and presents the rarity of treatment design.

Keywords: Melanoma; Surgery; Gastric; Gastrointestinal

References

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Citation

Citation: Bharat Patodiya., et al. “Rare Case Report- Melanoma Stomach”.Acta Scientific Medical Sciences 7.5 (2023): 134-137.

Copyright

Copyright: © 2023 Bharat Patodiya., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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