Conjunctival metastasis as initial sign of disseminated cutaneous melanoma.
OBJECTIVE
To describe a patient with conjunctival metastasis as the initial manifestation of metastasis from a cutaneous melanoma.


METHODS
Single interventional case report.


METHODS
A 48-year-old woman with a history of cutaneous axillary melanoma developed a rapidly growing conjunctival mass. Subsequent systemic evaluation disclosed asymptomatic liver metastasis. The conjunctival lesion was resected.


RESULTS
Histopathologic evaluation of the conjunctival tumor disclosed an epithelioid cell melanoma located in the conjunctival stroma, without appreciable junctional activity, compatible with metastatic melanoma.


CONCLUSIONS
Conjunctival metastasis from cutaneous melanoma can rarely be the initial manifestation of disseminated melanoma.
Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
Jerry A
JA
Shields
Carol L
CL
Shields
Ralph C
RC
Eagle
Irving M
IM
Raber
D003230:Conjunctival Neoplasms / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary; D008545:Melanoma / Q000556:secondary* / Q000601:surgery; D008875:Middle Aged; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery