title: Intra-ocular melanoma metastatic to an axillary lymph node: a case report.
abstract: BACKGROUND
  Unusual metastatic presentation of intra-ocular melanoma.
  
  
  METHODS
  Case report.
  
  
  CONCLUSIONS
  Extra-regional lymphatic spread of intra-ocular melanoma has not been reported previously in the literature. The usual pattern of metastasis for intra-ocular melanoma is hematogenous. There are few reports of regional spread to the maxillofacial bones. We report an interesting case of a 51 year old female with prior history of right eye melanoma, now presenting with metastasis to the left axilla, which is an extra-regional nodal basin.
  
  
  CONCLUSIONS
  In female patients presenting with an isolated axillary mass, with a negative breast work up and known prior history of melanoma, the differential diagnosis should include possible metastatic melanoma. Core biopsy will confirm the diagnosis and tailor subsequent management.
authors: Department of Surgery, Our Lady of Lourdes Memorial Hospital, Binghamton, NY, USA. nirupamaanne@yahoo.com
authors: Nirupama
authors: N
authors: Anne
authors: Ratnakishore
authors: R
authors: Pallapothu
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