Bladder tumour as a first manifestation of metastatic choroid melanoma

Incidence of melanoma has been increasing, being able to metastasize to any organ with variable clinical presentation and evolution. We present the case of a patient with choroid melanoma metastasis to the bladder, managed by transurethral resection of the bladder with apparent full excision, additional investigation identified probable peritoneal and pulmonary metastases. Further exams revealed a stable pulmonary lesion and no peritoneal disease. Patient was proposed for surveillance. Treatment of metastatic melanoma is variable, some advocate metastasectomy for single metastasis, others systemic therapy or radiotherapy. Regardless of treatment options and new treatments the prognosis of metastatic disease is markedly unfavourable.