title: Metastatic ocular melanoma to the kidney 20 years after initial diagnosis.
abstract: Metastatic tumors are the most common malignancies of the kidney. We report a rare case of isolated metastatic ocular melanoma to the kidney occurring 20 years after diagnosis. A 71-year-old man presented with gross hematuria. He had undergone left enucleation 20 years previously for ocular melanoma and had not required adjuvant therapy. A right upper pole mass was identified on computed tomography and was excised laparoscopically. Pathologic examination revealed metastatic melanoma. Metastatic melanoma to the kidney is rare. A high index of suspicion must be maintained in any patient with a renal mass and a history of a nonrenal malignancy.
authors.affiliation: Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2765, USA. brian.m.levin@vanderbilt.edu
authors.forename: Brian M
authors.initials: BM
authors.lastname: Levin
authors.forename: Fouad I
authors.initials: FI
authors.lastname: Boulos
authors.forename: S Duke
authors.initials: SD
authors.lastname: Herrell
mesh_terms: D000368:Aged; D005134:Eye Neoplasms / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000556:secondary*; D008297:Male; D008545:Melanoma / Q000556:secondary*; D013997:Time Factors