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Intra-ocular melanoma metastatic to an axillary lymph node: a case report
Nirupama Anne1, Ratnakishore Pallapothu
1Department of Surgery, Our Lady of Lourdes Memorial Hospital, Binghamton, NY, USA. nirupamaanne@yahoo.com
Background:
Unusual metastatic presentation of intra-ocular melanoma.
Study Design:
Case report.
Discussion:
Extra-regional lymphatic spread of intra-ocular melanoma has not been reported previously in the literature. The usual pattern of metastasis for intra-ocular melanoma is hematogenous. There are few reports of regional spread to the maxillofacial bones. We report an interesting case of a 51 year old female with prior history of right eye melanoma, now presenting with metastasis to the left axilla, which is an extra-regional nodal basin.
Conclusion:
In female patients presenting with an isolated axillary mass, with a negative breast work up and known prior history of melanoma, the differential diagnosis should include possible metastatic melanoma. Core biopsy will confirm the diagnosis and tailor subsequent management.
