title: Clinical Course of a Presumed Metastatic Uveal Melanoma to the Contralateral Choroid.
abstract: We present the ultrasound and optic coherence tomography follow-up of a presumed choroidal metastasis from a contralateral melanoma. A 53-year-old male was diagnosed with uveal melanoma with extraescleral extension in his left eye. A year later, the fundus examination revealed a flat, gray-green, pigmented choroidal lesion in the right eye. The ultrasonography showed a mass, almost flat, and all these findings were compatible with a choroidal melanocytic lesion with risk factors for growth. One month later, melanocytic skin lesions appeared on the scalp, as well as small tumors. Three months later, an ultrasonography on B scan showed a growth of the tumor size. The patient developed a progressive deterioration and died. Three possibilities can explain the occurrence of a choroidal pigmented tumor in the contralateral eye: first, bilateral primary choroidal melanomas; second, both choroidal tumors are metastatic in origin from an unknown primary melanoma; and third, the contralateral tumor is a metastatic tumor from the primary choroidal melanoma.
authors.affiliation: a Department of Ophthalmology , University Hospital of Bellvitge, Barcelona University , Barcelona , Spain and.
authors.forename: Josep M
authors.initials: JM
authors.lastname: Caminal Mitjana
authors.affiliation: a Department of Ophthalmology , University Hospital of Bellvitge, Barcelona University , Barcelona , Spain and.
authors.forename: Natàlia
authors.initials: N
authors.lastname: Vilà Grané
authors.affiliation: b Department of Ophthalmology , Hospital Clinic of Barcelona, Barcelona University , Barcelona , Spain.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Adán Civera
authors.affiliation: b Department of Ophthalmology , Hospital Clinic of Barcelona, Barcelona University , Barcelona , Spain.
authors.forename: Noelia
authors.initials: N
authors.lastname: Sabater
authors.affiliation: a Department of Ophthalmology , University Hospital of Bellvitge, Barcelona University , Barcelona , Spain and.
authors.forename: Lluis
authors.initials: L
authors.lastname: Arias Barquet
authors.affiliation: a Department of Ophthalmology , University Hospital of Bellvitge, Barcelona University , Barcelona , Spain and.
authors.forename: Marcos J
authors.initials: MJ
authors.lastname: Rubio Caso
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002830:Choroid Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000628:therapy; D003131:Combined Modality Therapy; D015353:Eye Enucleation; D017809:Fatal Outcome; D006801:Humans; D006979:Hyperthermia, Induced; D008297:Male; D008545:Melanoma / Q000000981:diagnostic imaging / Q000556:secondary* / Q000628:therapy; D008875:Middle Aged; D020273:Orbital Implants; D015422:Scleral Diseases / Q000473:pathology; D012878:Skin Neoplasms / Q000556:secondary; D041623:Tomography, Optical Coherence; D014463:Ultrasonography; D014604:Uveal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy
keywords: Choroidal metastasis; melanoma; metastatic melanoma; ocular oncology; uveal melanoma