Endoscopy 2010; 42(11): 980
DOI: 10.1055/s-0030-1255885
Letters to the editor

© Georg Thieme Verlag KG Stuttgart · New York

Reply to Prakoso et al.

D.  Urbain, M.  Aerts, H.  Reynaert, F.  Mana, B.  Neyns
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Publikationsverlauf

Publikationsdatum:
11. November 2010 (online)

We agree with the interesting remarks of Prakoso and Selby [1]. Our experience in small-bowel melanoma metastases confirms that some of them can be polypoid. We also observed in some patients that polypoid and flat lesions could coexist. This was also the case in the patient we reported [2]. In some patients, the small-bowel melanoma metastases look more like a submucosal bulging ([Fig. 1]). This appearance of lesions can also be encountered in peritoneal or mesenteric metastases growing into the small bowel. Endoscopists should indeed be aware of the variability of the melanoma metastatic lesions in the small bowel.

Competing interests: None

Fig. 1 Bulging of a melanoma mesenteric metastasis in the small-bowel lumen.

References

D. UrbainMD 

Department of Gastroenterology and Hepatology
Universitair Ziekenhuis Brussel

Laarbeeklaan 101 UZ Brussel
Brussels 1090
Belgium

Fax: +32-2-4776810

eMail: daniel.urbain@uzbrussel.be