This is a very rare case of metastatic oral mucosal melanoma to the colon with an unusual presentation mimicking melanosis coli. The colonoscopy findings show no mass effect but multiple hyperpigmented lesions Intracranial metastasis from a malignant peripheral nerve sheath tumor in a patient with neurofibromatosis type 1: A case study and literature review ScienceDirect Decoding Melanoma Metastasis An 84 year old man with a history of metastatic melanoma of the scalp who was undergoing immunotherapy presented with new, multiple blue gray macules on the scalp.