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dc.contributor.authorKarde, Supriya Ramesh
dc.contributor.authorBhand, Prashant Ramesh
dc.contributor.authorRamesh, Nagabathula
dc.contributor.authorArockiam, Sacchin
dc.date.accessioned2017-03-28T08:56:17Z
dc.date.available2017-03-28T08:56:17Z
dc.date.issued2016-11-23
dc.identifier.citationMetastatic melanoma after 23 years of primary ocular melanoma. 2016, 2016 BMJ Case Repen
dc.identifier.issn1757-790X
dc.identifier.pmid27881589
dc.identifier.doi10.1136/bcr-2016-217503
dc.identifier.urihttp://hdl.handle.net/10147/621227
dc.descriptionWe 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.en
dc.description.abstractWe 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.
dc.language.isoenen
dc.publisherBMJen
dc.rightsArchived with thanks to BMJ case reportsen
dc.subjectMELANOMA, OCULARen
dc.subjectCANCERen
dc.subject.meshBrain Neoplasms
dc.subject.meshEye Neoplasms
dc.subject.meshFatal Outcome
dc.subject.meshHumans
dc.subject.meshLiver Neoplasms
dc.subject.meshLung Neoplasms
dc.subject.meshMale
dc.subject.meshMelanoma
dc.subject.meshMiddle Aged
dc.subject.meshPalliative Care
dc.titleMetastatic melanoma after 23 years of primary ocular melanoma.en
dc.typeArticleen
dc.identifier.journalBMJ case reportsen
refterms.dateFOA2018-08-27T20:48:25Z
html.description.abstractWe 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.


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