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October 20, 1962

Malignant Melanoma of the Stomach

JAMA. 1962;182(3):298-299. doi:10.1001/jama.1962.03050420074022a

MALIGNANT MELANOMA involving the stomach and small intestine is an uncommon tumor, considerably less than 100 cases having been described in the literature to date. This case is of particular interest as a presumptive diagnosis was first made at gastroscopy and confirmed by exfoliative cytology and gastroscopio biopsy, thus eliminating the need for exploratory laparotomy.

Report of a Case

A 44-ycar-old white contractor was in good health until July, 1960, when lie first developed a constant, dull, paraumbilical pain present during the day, but worse at night, associated with postprandial bloating and intermittent nausea without vomiting. He first sought medical advice from his physician, Dr. P. W. Carney, in November, 1960, at which time a physical examination was negative, but an x-ray examination of his stomach and duodenum was reported as showing generalized gastritis and duodenitis, with no evidence of peptic ulceration. Treatment with antispasmodics, diet, and frequent feedings failed