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    Metastatic melanoma after 23 years of primary ocular melanoma.

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    MetastaticMelanoma23YrsAftPrim ...
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    Authors
    Karde, Supriya Ramesh
    Bhand, Prashant Ramesh
    Ramesh, Nagabathula
    Arockiam, Sacchin
    Issue Date
    2016-11-23
    Keywords
    MELANOMA, OCULAR
    CANCER
    MeSH
    Brain Neoplasms
    Eye Neoplasms
    Fatal Outcome
    Humans
    Liver Neoplasms
    Lung Neoplasms
    Male
    Melanoma
    Middle Aged
    Palliative Care
    
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    Citation
    Metastatic melanoma after 23 years of primary ocular melanoma. 2016, 2016 BMJ Case Rep
    Publisher
    BMJ
    Journal
    BMJ case reports
    URI
    http://hdl.handle.net/10147/621227
    DOI
    10.1136/bcr-2016-217503
    PubMed ID
    27881589
    Abstract
    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
    Article
    Language
    en
    ISSN
    1757-790X
    ae974a485f413a2113503eed53cd6c53
    10.1136/bcr-2016-217503
    Scopus Count
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    Midlands Regional Hospital Portlaoise

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