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Conjunctival metastasis from a cutaneous melanoma as the initial sign of dissemination
1Department of Ophthalmology, Loyola University Chicago, USA.
American Journal of Ophthalmology
|February 1, 1997
Abstract
Purpose:
We report a case in which a conjunctival metastasis from a cutaneous melanoma was the first sign of metastatic disease.
Method:
An excisional biopsy of an amelanotic pedunculated conjunctival lesion in a 52-year-old man showed epithelioid melanoma.
Results:
Systemic examination showed widespread disseminated disease from a cutaneous melanoma that had been removed 3 1/2 years earlier. At that time, no signs of metastatic disease were detected. Despite chemotherapy, the patient died 6 weeks later.
Conclusion:
Conjunctival metastasis from a cutaneous melanoma is a rare and ominous sign of widely disseminated disease.