Ovarian malignant melanoma: unusual presentation of a solitary metastasis.
BACKGROUND
Malignant melanomas of the ovary are rare with unpredictable clinical and biological behavior. We present this case report of a metastatic ovarian malignant melanoma, where the ovary was the first site of relapse after 10 years of remission.


METHODS
A 58-year-old postmenopausal woman was incidentally found to have an abdominal mass, 10 years after removal of a cutaneous malignant melanoma lesion. Ultrasound and CT scan revealed an adnexal mass, which was found to be a solitary ovarian tumor at laparotomy. Histology confirmed malignant melanoma metastasis.


CONCLUSIONS
Relapse after a prolonged period of remission, presenting, as an isolated ovarian metastasis is an unusual presentation of malignant melanoma. As illustrated by this case report, a differential diagnosis of a metastatic malignant melanoma must be considered.
Oliver
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R
Harold Wood Hospital, Gubbins Lane, Romford, Essex-RM3 0BE, UK. oliverreebs@aol.com
Dasgupta
C
C
Coker
A
A
Al-Okati
D
D
Weekes
A R L
AR
D005260:Female; D006801:Humans; D008545:Melanoma / Q000473:pathology / Q000556:secondary*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology; D010051:Ovarian Neoplasms / Q000473:pathology / Q000556:secondary*