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Progression of untreated gastric and pulmonary metastasis in a patient with resected acral melanoma
  1. Gurasees S Chawla1,
  2. Seda S Tolu2 and
  3. Shitij Arora1
  1. 1Department of Internal Medicine, Montefiore Medical Center, Bronx, New York, USA
  2. 2Department of Hematology and Oncology, Columbia Presbyterian Medical Center, New York, New York, USA
  1. Correspondence to Dr Gurasees S Chawla; gchawla{at}


We report a man in his 80s who presents with epigastric abdominal pain and fatigue for 2 weeks. His medical history was significant for left toe acral melanoma (excised 6 years prior) and a lung mass, further workup for which was declined at the time by the patient. On presentation, he had iron deficiency anaemia and esophagogastroduodenoscopy revealed a gastric mass. Histopathological analysis of gastric and subsequently, pulmonary, lesions were consistent with metastatic melanoma. This case demonstrates the unique slow progression of untreated pulmonary metastasis in metastatic melanoma.

  • Gastroenterology
  • Pathology
  • Oncology

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  • Contributors GSC, SST and SA contributed research, writing and editing. All authors read, edited and approved the final document prior to submission.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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