Issue Date
2016-11-23Keywords
MELANOMA, OCULARCANCER
MeSH
Brain NeoplasmsEye Neoplasms
Fatal Outcome
Humans
Liver Neoplasms
Lung Neoplasms
Male
Melanoma
Middle Aged
Palliative Care
Metadata
Show full item recordCitation
Metastatic melanoma after 23 years of primary ocular melanoma. 2016, 2016 BMJ Case RepPublisher
BMJJournal
BMJ case reportsDOI
10.1136/bcr-2016-217503PubMed ID
27881589Abstract
We describe a case of 52-year-old man who presented with an episode of tonic-clonic seizures. He had right ocular melanoma 23 years ago with subsequent enucleation which was the standard treatment at that time. CT scans of the brain and of the thorax-abdomen-pelvis revealed widespread metastatic lesions in the brain, lung and liver. Further investigations including bronchoscopy with cytopathology uncovered that the metastatic disease was a recurrence of ocular melanoma. He received palliative radiotherapy and died 6 months later. Ocular melanoma is often associated with fulminant metastatic disease after a period of dormancy. Thus, despite successful treatment of the localised disease at initial presentation, an effort is needed for optimal long-term follow-up plan in order to improve survival in case of recurrence.Item Type
ArticleLanguage
enISSN
1757-790Xae974a485f413a2113503eed53cd6c53
10.1136/bcr-2016-217503
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