Reply to Prakoso et al.

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

• 1 Prakoso E, Selby W S. Polypoid and non-pigmented small-bowel melanoma in capsule endoscopy is common.  Endoscopy. 2010;  42 979
• 2 Urbain D, Aerts M, Reynaert H. et al . Small-bowel metastasis of malignant melanoma: video capsule endoscopy appearance.  Endoscopy. 2010;  42 E185