Metastatic Melanoma to the Stomach: A Rare Case of Tumor Burden Beyond the Skin.

Metastatic melanoma is a rare occurrence and is a challenge to diagnose based on the location of spread. The increased incidence in the United States (US) can be attributed to the popularity of tanning beds, an aging population, climate change, public awareness, and better diagnostic tools. Despite the large number of melanoma cases, five-year survival rates remain high; however, survival rates dramatically change with metastatic disease. Melanoma commonly spreads to other skin sites, lymph nodes, the liver, bones, and the brain. We present a rare instance of metastatic melanoma in the stomach in an 81-year-old male patient with nonspecific gastrointestinal (GI) symptoms, including five years of dysphagia, weight loss, and coughing spells. This case discusses the prognostic implications of metastatic disease, the importance of proper staining with biopsy samples, treatment, and highlights the importance of recurring disease surveillance.