PMC6087584_01
Picture taken from EGD showing a 50mm bleeding mass with an ulcerated center from which biopsies were taken.
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fig1
An esophagogastroduodenoscopy showed a 50-millimeter noncircumferential bleeding mass in the gastric cardia, with raised borders and a central, protruding, ulcerated center from which biopsies were taken (Figure 1).
Immunohistochemistry positive for S-100 consistent with metastatic melanoma.
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fig2
CAM 5.2, polytypic cytokeratin, and 4 different melanoma markers (SOX-10, S-100, MART-1, and HMB-45) (Figures 2 and 3). Considering the patient's history of melanoma and biopsy findings, the diagnosis of metastatic malignant melanoma to the stomach was made.
Immunohistochemistry from biopsy positive for HMB-45 consistent with melanoma.
CRIGM2018-7684964.003.jpg
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fig3
CAM 5.2, polytypic cytokeratin, and 4 different melanoma markers (SOX-10, S-100, MART-1, and HMB-45) (Figures 2 and 3). Considering the patient's history of melanoma and biopsy findings, the diagnosis of metastatic malignant melanoma to the stomach was made.