Fig. 4

Macro and microscopic findings of the resected specimen. a Macroscopic findings of a stomach specimen. The white arrow shows submucosal tumors with melanocytic ulcers. b Macroscopic findings of the pancreatic body specimen divided into sagittal sections. The white arrowheads show smooth melanin-like solid lymph nodes with distinct borders invading the pancreas. c, d Microscopic findings of invaded pancreas. There was solid growth of tumor cells with distinct eosinophilic vesicles and nucleoli, many of which contained melanin granules