Unexpected Finding on Endoscopy Done for Evaluation of Dyspepsia—GI Melanoma

Background: Malignant melanoma (MM) is the most common carcinoma to metastasize to the gastrointestinal (GI) tract and it carries a poor prognosis.1 The primary is usually the skin [extremities (15–57%) followed by the trunk (13–54%) and head and neck (5–33%)],2 and metastases within the GI tract commonly occur in the liver, small intestine, colon, and stomach in decreasing order of incidence. Incidence of symptomatic GI involvement is rare (1–5%).3