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Primary gastric melanoma: A case report with imaging findings and 5-year follow-up
- Source :
- World Journal of Gastroenterology
- Publication Year :
- 2019
- Publisher :
- Baishideng Publishing Group Inc, 2019.
-
Abstract
- Background Most melanomas identified in the stomach are metastatic; primary gastric melanoma (PGM) is extremely rare, and the relevant studies are relatively scarce. PGM may be incorrectly diagnosed as other gastric malignant tumor types. Case summary We describe a rare case of PGM confirmed through long-term clinical observation and pathological diagnosis. A 67-year-old woman presented to our hospital with recurrent chest tightness and chest pain. Digital gastrointestinal radiography revealed a circular shadow in the gastric cardia. Computed tomography (CT) revealed a heterogeneous tumor with uneven enhancement. Enlarged lymph nodes were noted in the lesser curvature of the stomach. On magnetic resonance imaging (MRI), T1- and T2-weighted imaging revealed hyperintensity in and hypointensity in the tumor, respectively, both of which increased substantially after uneven enhancement. Near total gastrectomy was performed, and the tumor was pathologically confirmed to be a gastric melanoma. Because no other possible primary site of malignant melanoma was suspected, a clinical diagnosis of PGM was made. The patient was followed for nearly 5 years, during which she received CT reexamination, but no recurrence or metastasis was observed. Conclusion Certain imaging characteristics could be revealed in PGM. Imaging examination can be of great value in preoperative diagnosis, differential diagnosis, and follow-up of patients with PGM.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Case Report
X-ray computed
Chest pain
Metastasis
Diagnosis, Differential
Gastrectomy
Stomach Neoplasms
medicine
Humans
Melanoma
Tomography
Computed tomography
Aged
medicine.diagnostic_test
business.industry
Stomach
fungi
Gastroenterology
Magnetic resonance imaging
Cardia
General Medicine
medicine.disease
Curvatures of the stomach
Magnetic Resonance Imaging
medicine.anatomical_structure
Treatment Outcome
Female
Radiology
medicine.symptom
Differential diagnosis
business
Gastric tumors
Tomography, X-Ray Computed
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 22192840 and 10079327
- Volume :
- 25
- Issue :
- 44
- Database :
- OpenAIRE
- Journal :
- World Journal of Gastroenterology
- Accession number :
- edsair.doi.dedup.....ad609f31aecb7092d3cf3df0a0799373