title: Ovarian malignant melanoma: unusual presentation of a solitary metastasis.
abstract: 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.
authors.affiliation: Harold Wood Hospital, Gubbins Lane, Romford, Essex-RM3 0BE, UK. oliverreebs@aol.com
authors.forename: R
authors.initials: R
authors.lastname: Oliver
authors.forename: C
authors.initials: C
authors.lastname: Dasgupta
authors.forename: A
authors.initials: A
authors.lastname: Coker
authors.forename: D
authors.initials: D
authors.lastname: Al-Okati
authors.forename: A R L
authors.initials: AR
authors.lastname: Weekes
mesh_terms: 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*