Chang W S, Yang K C, Chen B F
Department of Medicine, Mackay Memorial Hospital, Taipei, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1990 Apr;45(4):280-3.
a 54-year-old male was presented with huge, black, ulcerative and painless tumor of the sole of left foot. Malignant melanoma was proved by biopsy, but patient refused any treatment. He visited our hospital again when bloody vomitus was noted two months later. Chest P-A revealed multiple lung metastases, and marked liver metastasis was also found by abdominal echo. Upper gastrointestinal (UGI) panendoscopy revealed multiple melanotic nodules with ulcerations at the tip, scattering diffusely on the fundus and upper body of the stomach. Metastatic malignant melanoma was proved by endoscopic biopsy. Metastatic tumor of the stomach was rare, and the endoscopic finding of the malignant melanoma with gastric metastasis was more rarer in the literature in Taiwan. So we would like to present the very rare finding of the endoscopy.
一名54岁男性，左足底出现巨大、黑色、溃疡性且无痛的肿瘤。活检证实为恶性黑色素瘤，但患者拒绝任何治疗。两个月后出现血性呕吐物时，他再次就诊于我院。胸部正位片显示多发肺转移，腹部超声也发现明显的肝转移。上消化道（UGI）全内镜检查发现胃底和胃体部有多个顶端有溃疡的黑色素结节，呈弥漫性散在分布。内镜活检证实为转移性恶性黑色素瘤。胃转移性肿瘤较为罕见，台湾文献中关于胃转移性恶性黑色素瘤的内镜表现更是少见。因此，我们想展示这一极为罕见的内镜检查结果。
