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Case report
Primary malignant melanoma of the stomach: a rare entity
  1. Pradeep Zechariah1,
  2. Suraj Surendran2,
  3. Vijay Abraham2 and
  4. Inian Samarasam2
  1. 1Department of General Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
  2. 2Department of General Surgery Unit III and Upper Gastrointestinal Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
  1. Correspondence to Dr Suraj Surendran; suraj.cmc{at}


A 54-year-old man presented with easy fatiguability, dyspnoea on exertion and dyspeptic symptoms. On evaluation, he was found to have an ulcero-proliferative growth in the gastric fundus, the biopsy of which was malignant melanoma of the stomach. Further evaluation with 18F-fluorodeoxyglucose positron emission tomography-computed tomography (18F-FDG PET-CT) scan showed operable disease with no focus of disease elsewhere. He was diagnosed as primary gastric melanoma and underwent radical total gastrectomy with adequate margins. His postoperative period was uneventful. Further adjuvant therapy was refused by the patient. At 6-month follow-up, an 18F-FDG PET-CT scan was done, which showed no evidence of disease. On follow-up at 1-year, he was alive and asymptomatic.

  • malignant disease and immunosuppression
  • stomach and duodenum
  • gastric cancer
  • gastrointestinal surgery
  • pathology

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  • Contributors PZ: design, acquisition of patient data, and drafting the manuscript. SS: design, drafting the manuscript, and critical appraisal. VA: design, drafting the manuscript and critical appraisal. IS: design, drafting the manuscript, critical appraisal, and overall guarantor of the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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