title: Multiple bilateral ocular metastases from malignant melanoma associated with blue nevi.
abstract: OBJECTIVE
  Malignant melanoma associated with a blue nevus is a rare diagnosis. Additionally, only a handful of cases of malignant melanoma associated with blue nevi involving the ocular structures have been reported. We report a probable case of malignant melanoma associated with a blue nevus with metastasis to multiple bilateral ocular structures.
  
  
  METHODS
  Observational case report.
  
  
  RESULTS
  We report a case of a 27-year-old man with lymph node biopsy-proven malignant melanoma as well as a separate skin biopsy of a blue nevus, who developed multiple bilateral pigmented ocular lesions on the sclera, iris, trabecular meshwork, and choroid.
  
  
  CONCLUSIONS
  Although ocular histopathologic evidence could not be obtained, our case likely represents a case of explosive widespread metastasis probably originating from a blue nevus of unknown location, which involved both eyes and adnexae.
authors.affiliation: Department of Ophthalmology, University of Florida College of Medicine, Jacksonville, Florida 32209, USA.
authors.forename: Amy T
authors.initials: AT
authors.lastname: Kelmenson
authors.forename: Sandeep
authors.initials: S
authors.lastname: Grover
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002471:Cell Transformation, Neoplastic / Q000473:pathology*; D005134:Eye Neoplasms / Q000188:drug therapy / Q000556:secondary*; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008545:Melanoma / Q000188:drug therapy / Q000473:pathology*; D009378:Neoplasms, Multiple Primary / Q000473:pathology*; D018329:Nevus, Blue / Q000188:drug therapy / Q000556:secondary*; D012878:Skin Neoplasms / Q000188:drug therapy / Q000473:pathology*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity