Symptomatic malignant melanoma presenting as multiple gastrointestinal polyps.
We report on a 66-year-old man with a past medical history of gout who presented to his general practitioner (GP) in July 2009 with a history of nausea and intermittent diarrhoea. He had lost 6 kg in weight over 6 months. His GP found he was anaemic and referred him to a gastrointestinal outpatient clinic. He went on to have a gastroscopy and colonoscopy, which revealed multiple polyps in the stomach, duodenum and colon. Histology revealed that all the polyps were malignant melanoma. He had no known history of malignant melanoma. A staging CT scan revealed multiple lung metastases and he was referred for palliative care. The patient died 4 months after diagnosis.
Department of Cellular Pathology, NHS Basildon University Hospital, Basildon, UK. shaunacasey_2003@hotmail.com
Shauna
S
Casey
Lee
L
Dvorkin
Nazar
N
Alsanjari
Balazs
B
Dezso
D000368:Aged; D017809:Fatal Outcome; D005770:Gastrointestinal Neoplasms / Q000473:pathology*; D006801:Humans; D008297:Male; D008545:Melanoma / Q000473:pathology*; D009378:Neoplasms, Multiple Primary / Q000473:pathology*; D011127:Polyps / Q000473:pathology*