title: Contralateral eyelid metastasis of uveal melanoma with further systemic dissemination.
abstract: BACKGROUND
  The usual way of dissemination of an uveal malignant melanoma comprises hematogenous metastases to various organs, liver in the first place. Uncommon development of the disease is always possible, while unusual ways of dissemination and secondary deposits in the unexpected sites have been observed. We presented an unusual case of a patient with uveal melanoma metastatic to the contralateral eyelid with very fast further dissemination in the manner typical for primary malignancies.
  
  
  METHODS
  This observational case report included a 70-year-old male, enucleated for uveal melanoma in his left eye, appeared again 2.5 years later with a fast growing contralateral eyelid metastasis, followed by submandibular lymph node involvement on the same side and further systemic dissemination.
  
  
  CONCLUSIONS
  The first revealed solitary contralateral eyelid metastasis of uveal melanoma is extremely rare, such as an uncommon secondary deposit with a strange way of further dissemination.
authors.affiliation: Clinical Center of Serbia, Institute of Ophthalmology, Belgrade, Serbia. nikolar86@gmail.com
authors.forename: Anica Bobić
authors.initials: AB
authors.lastname: Radovanović
authors.forename: Zoran
authors.initials: Z
authors.lastname: Latkovic
mesh_terms: D000368:Aged; D005142:Eyelid Neoplasms / Q000473:pathology / Q000556:secondary*; D006801:Humans; D008297:Male; D008545:Melanoma / Q000473:pathology / Q000556:secondary*; D014604:Uveal Neoplasms / Q000473:pathology*