恶性黑色素瘤胃转移很少见,我院发现一例,现报告如下。患者男性,60岁,住院号:33932。该患于半年前出生胃区不适、疼痛,以空腹时为重,同时伴有反酸,无恶心呕吐,饭后有腹胀。曾用胃必治药物治疗二个月无明显好转,近日上述症状加重。既往史:1983年因左脚(足母)趾患恶性黑色素瘤1985年左腹股沟处恶性黑色素瘤传移而在当地医院手术切除。查体:一般状态良好,全身浅表淋巴结无肿大,皮肤、糖膜无异常所见。心肺正常,上腹部有压痛,未触及肿物,肝脾未触及。 X线像见胃窦前壁有3.0×2.5cm大小龛影,周围有环堤,粘膜皱壁破坏中断。诊断为 The melanoma metastasis of melanoma is rare, one case was found in our hospital and the report is as follows. Patient male, 60 years old, hospital number: 33932. The patient was born with discomfort and pain in the stomach area six months ago. He was given an empty stomach and was accompanied by acid reflux, no nausea and vomiting, and abdominal distension after meals. There was no obvious improvement in the two months after treatment with Weizhizhi. The above symptoms were aggravated in recent days. Past history: In 1983, the left foot (foot mother) suffered from malignant melanoma in 1985, the medullary malignant melanoma spread in the left inguinal region and surgical resection at the local hospital. Physical examination: The general condition is good, there is no enlargement of the superficial lymph nodes, and no abnormalities are seen in the skin and the glycocalyx. The heart and lungs were normal, there was tenderness in the upper abdomen, no mass was touched, and the liver and spleen were not touched. The X-ray image shows an anterior wall of the gastric antrum with a size of 3.0 x 2.5 cm, surrounded by embankments, and disruption of mucosal wall disruption. diagnosed as