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Jornal Português de Gastrenterologia

Print version ISSN 0872-8178

Abstract

QUINTELA, C.; BETTENCOURT, M. J.; RIBEIRINHO, A.  and  BENTES, T.. Pólipos Gástricos como Rara Forma de Apresentação de Metástase Gástrica de Melanoma. J Port Gastrenterol. [online]. 2008, vol.15, n.3, pp.122-124. ISSN 0872-8178.

A 74-year-old male patient with a recent history of epigastric pain and nausea, anorexia and weight loss (20 Kg in a month) is presented. In his past from medical history there was reference to a resection of melanoma on the right shoulder four years ago. Physical examination revealed a hard, painless and adherent adenopathy in the left supraclavicular region. Thoracic, abdominal and pelvic CT scan showed multiple liver metastasis. Upper endoscopy revealed a sessile polyp 5 mm in diameter below GE junction; in the body and antrum there were also multiple sessile polyps 2 to 4 mm in diameter with erosions of the mucosa. Histopathology was compatible with infiltrated malignant melanoma.

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