Metastases of one cancer to another coexisting neoplasm, whether it is
malignant or not, in the same individual is extremely rare. Fewer tha
n 100 cases have been described in the literature; the most frequent c
ombination of this metastatic pattern has been bronchogenic carcinoma
metastasizing to renal cell carcinoma. io the authors' knowledge, no c
ase of malignant melanoma metastasizing to the inside of a gastric can
cer lesion has been published. In our present case, it might be approp
riate to think that an enlarged gastric cancer may have accounted for
the avid accumulation of Ga-67. Nevertheless, the strongly speckled ac
cumulation observed in the epigastrium may represent metastatic foci o
f the melanoma within the gastric cancer.